| Metro Health Medicine Pllc | |
|
13479 Northline Rd Southgate MI 48195-1064 | |
| (313) 663-6502 | |
| Not Available |
| Full Name | Metro Health Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13479 Northline Rd, Southgate, Michigan |
| Authorized Official Name and Position | Saeed A Bazzi (AGENT) |
| Authorized Official Contact | 3136636502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Health Medicine Pllc 13479 Northline Rd Southgate MI 48195-1064 Ph: (313) 663-6502 | Metro Health Medicine Pllc 13479 Northline Rd Southgate MI 48195-1064 Ph: (313) 663-6502 |
| NPI Number | 1649095175 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 03/19/2025 |
| Medicare PECOS PAC ID | 8426573254 |
|---|---|
| Medicare Enrollment ID | O20250415000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649095175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Saeed Bazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902301062 PECOS PAC ID: 3274921747 Enrollment ID: I20211102003361 |
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