| Health Park Medical Practice Pc | |
|
600 Health Park Blvd Suite H Grand Blanc MI 48439 | |
| (810) 606-7125 | |
| (810) 606-1620 |
| Full Name | Health Park Medical Practice Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 Health Park Blvd, Grand Blanc, Michigan |
| Authorized Official Name and Position | Riad Dali-ahmad (DOCTOR) |
| Authorized Official Contact | 8106067125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Park Medical Practice Pc 600 Health Park Blvd Ste H Grand Blanc MI 48439-2558 Ph: (810) 606-7125 | Health Park Medical Practice Pc 600 Health Park Blvd Suite H Grand Blanc MI 48439 Ph: (810) 606-7125 |
| NPI Number | 1760901003 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1254698699 |
|---|---|
| Medicare Enrollment ID | O20171120002963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760901003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Riad R Dali Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124130539 PECOS PAC ID: 8628024841 Enrollment ID: I20050330000574 |
| Provider Name | Shilpaben K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417508417 PECOS PAC ID: 4789019738 Enrollment ID: I20200121001568 |
| Provider Name | Jacqueline Hourtienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699437566 PECOS PAC ID: 2567850084 Enrollment ID: I20211102001256 |
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