| Maya Medical Group PLLC | |
|
5479 Schaefer Rd Dearborn MI 48126-3222 | |
| (313) 791-7992 | |
| (313) 406-2961 |
| Full Name | Maya Medical Group PLLC |
|---|---|
| Speciality | Hospitalist |
| Location | 5479 Schaefer Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Achraf Slim (OWNER) |
| Authorized Official Contact | 1337917992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Medical Group PLLC 5479 Schaefer Rd Dearborn MI 48126-3222 Ph: (313) 791-7992 | Maya Medical Group PLLC 5479 Schaefer Rd Dearborn MI 48126-3222 Ph: (313) 791-7992 |
| NPI Number | 1033874300 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 9931599685 |
|---|---|
| Medicare Enrollment ID | O20211211000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033874300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| Provider Name | Achraf Slim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689962136 PECOS PAC ID: 8921223785 Enrollment ID: I20141118000555 |
| Provider Name | Eyas Kanaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770992976 PECOS PAC ID: 6406112374 Enrollment ID: I20171108003484 |
| Provider Name | Kazem M Osman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518495225 PECOS PAC ID: 5092082479 Enrollment ID: I20200602002587 |
| Provider Name | Hussein Salame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215536321 PECOS PAC ID: 9931518883 Enrollment ID: I20210506001004 |
| Provider Name | Stepheni Rena Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235893520 PECOS PAC ID: 7911390968 Enrollment ID: I20220215001638 |
| Provider Name | Kristine Madria Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386387025 PECOS PAC ID: 0749665685 Enrollment ID: I20220914000278 |
| Provider Name | Salahuddin Mohamed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518609205 PECOS PAC ID: 9436535481 Enrollment ID: I20220929000555 |
| Provider Name | Samir Musleh Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033803127 PECOS PAC ID: 9537526231 Enrollment ID: I20230612003097 |
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