| Medical Associates, Pc | |
|
428 S Grove St Ypsilanti MI 48198-5662 | |
| (734) 483-7136 | |
| (734) 483-3422 |
| Full Name | Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 428 S Grove St, Ypsilanti, Michigan |
| Authorized Official Name and Position | Athar Siddiqui (PRESIDENT) |
| Authorized Official Contact | 7344837136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates, Pc 428 S Grove St Ypsilanti MI 48198-5662 Ph: (734) 483-7136 | Medical Associates, Pc 428 S Grove St Ypsilanti MI 48198-5662 Ph: (734) 483-7136 |
| NPI Number | 1912984980 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355333865 |
|---|---|
| Medicare Enrollment ID | O20040402000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912984980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ibrahim A Jawad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023092616 PECOS PAC ID: 9830097518 Enrollment ID: I20031219000729 |
| Provider Name | Harvey Minkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083667430 PECOS PAC ID: 9234197138 Enrollment ID: I20041223000118 |
| Provider Name | Shahida H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740267921 PECOS PAC ID: 5092769950 Enrollment ID: I20050303000844 |
| Provider Name | Jabeen Siddiqui Hamzavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447237615 PECOS PAC ID: 5890740708 Enrollment ID: I20050314000774 |
| Provider Name | Suleman Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972570745 PECOS PAC ID: 2769407964 Enrollment ID: I20051006000786 |
| Provider Name | Christinie A Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134582828 PECOS PAC ID: 2860782984 Enrollment ID: I20160602000292 |
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