| Maha Mediplex PLLC | |
|
22101 Moross St Johns Hospital & Medical Center Detroit MI 48236 | |
| (313) 343-4000 | |
| Not Available |
| Full Name | Maha Mediplex PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 22101 Moross, Detroit, Michigan |
| Authorized Official Name and Position | Humaira Rizvi (PRESIDENT) |
| Authorized Official Contact | 3139030425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maha Mediplex PLLC 2644 Woodward Ave Detroit MI 48201-3029 Ph: (313) 903-0425 | Maha Mediplex PLLC 22101 Moross St Johns Hospital & Medical Center Detroit MI 48236 Ph: (313) 343-4000 |
| NPI Number | 1558017301 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 7810367406 |
|---|---|
| Medicare Enrollment ID | O20221222001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558017301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Humaira Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225447766 PECOS PAC ID: 8426342031 Enrollment ID: I20170615002682 |
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