| Premier Gastroenterology Of Michigan Pc | |
|
25022 Canterbury Rd Franklin MI 48025-1204 | |
| (313) 244-6182 | |
| Not Available |
| Full Name | Premier Gastroenterology Of Michigan Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25022 Canterbury Rd, Franklin, Michigan |
| Authorized Official Name and Position | Ihab Hammoud (MANAGER) |
| Authorized Official Contact | 3132446182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Gastroenterology Of Michigan Pc 25022 Canterbury Rd Franklin MI 48025-1204 Ph: (313) 244-6182 | Premier Gastroenterology Of Michigan Pc 25022 Canterbury Rd Franklin MI 48025-1204 Ph: (313) 244-6182 |
| NPI Number | 1265017099 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 05/01/2025 |
| Medicare PECOS PAC ID | 6305255951 |
|---|---|
| Medicare Enrollment ID | O20210511002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265017099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Aditi Saxena |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972766574 PECOS PAC ID: 7618197112 Enrollment ID: I20160725000290 |
| Provider Name | Ihab Hammoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538378617 PECOS PAC ID: 0749475549 Enrollment ID: I20161031001778 |
| Provider Name | Mariann A Habhab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946325 PECOS PAC ID: 6901143163 Enrollment ID: I20190125000192 |
| Provider Name | Chelsea Marie Pettit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851973101 PECOS PAC ID: 8426434564 Enrollment ID: I20220927003703 |
Shyam L. Khanna, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32220 Scenic Lane, Franklin, MI 48025 Phone: 248-737-4021 | |
Jawad Agha Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30300 Franklin Rd, Franklin, MI 48025 Phone: 248-268-2566 Fax: 248-268-2560 |