| Palliative & Hospice Consultants Pllc | |
|
6071 W Outer Dr Detroit MI 48235-2624 | |
| (915) 233-0292 | |
| Not Available |
| Full Name | Palliative & Hospice Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6071 W Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Fahad Omar (OWNER) |
| Authorized Official Contact | 9152330292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palliative & Hospice Consultants Pllc 6071 W Outer Dr Detroit MI 48235-2624 Ph: (915) 233-0292 | Palliative & Hospice Consultants Pllc 6071 W Outer Dr Detroit MI 48235-2624 Ph: (915) 233-0292 |
| NPI Number | 1689449019 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 4183073042 |
|---|---|
| Medicare Enrollment ID | O20231218002529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689449019 | NPI | - | NPPES |
| Provider Name | Fahad Omar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821227471 PECOS PAC ID: 3476708397 Enrollment ID: I20131210001922 |
| Provider Name | Bhaskar Rao |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114057544 PECOS PAC ID: 4688767916 Enrollment ID: I20231222002591 |
| Provider Name | Alexis Miranda Tamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679242861 PECOS PAC ID: 0547604894 Enrollment ID: I20240215000223 |
| Provider Name | Ebitehal Elbeshir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275901704 PECOS PAC ID: 5496199754 Enrollment ID: I20240215000431 |
| Provider Name | Majd Khytaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427824887 PECOS PAC ID: 6002257656 Enrollment ID: I20240514000866 |
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