| Livewell Medical Group Pllc | |
|
3611 Carpenter St Ste 5 Hamtramck MI 48212-2784 | |
| (313) 733-8286 | |
| (313) 826-0899 |
| Full Name | Livewell Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3611 Carpenter St Ste 5, Hamtramck, Michigan |
| Authorized Official Name and Position | Diana El Masri (BILLING MANAGER) |
| Authorized Official Contact | 2482150048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Medical Group Pllc 3611 Carpenter St Ste 5 Hamtramck MI 48212-2784 Ph: (313) 733-8286 | Livewell Medical Group Pllc 3611 Carpenter St Ste 5 Hamtramck MI 48212-2784 Ph: (313) 733-8286 |
| NPI Number | 1043096688 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 0042667529 |
|---|---|
| Medicare Enrollment ID | O20231104000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043096688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ribhi Hazin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265747463 PECOS PAC ID: 6901038140 Enrollment ID: I20140422001446 |
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