| Hassan Dakroub Md Pllc | |
|
3735 Monroe St Ste A Dearborn MI 48124-3787 | |
| (313) 914-3370 | |
| (313) 908-9128 |
| Full Name | Hassan Dakroub Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3735 Monroe St Ste A, Dearborn, Michigan |
| Authorized Official Name and Position | Hassan Dakroub (OWNER) |
| Authorized Official Contact | 3139143370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hassan Dakroub Md Pllc 3735 Monroe St Ste A Dearborn MI 48124-3787 Ph: (313) 914-3370 | Hassan Dakroub Md Pllc 3735 Monroe St Ste A Dearborn MI 48124-3787 Ph: (313) 914-3370 |
| NPI Number | 1114262540 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/11/2017 |
| Medicare PECOS PAC ID | 0648416768 |
|---|---|
| Medicare Enrollment ID | O20130416000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114262540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4301087179 (Michigan) | Primary |
| Provider Name | Hassan Dakroub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528099397 PECOS PAC ID: 4981605649 Enrollment ID: I20070123000358 |
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