| Primary Medicine Pc | |
|
5045 Charing Cross Rd Bloomfield Hills MI 48304-3681 | |
| (248) 953-0526 | |
| Not Available |
| Full Name | Primary Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5045 Charing Cross Rd, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Ghazala Khan (BILLING MANAGER) |
| Authorized Official Contact | 7346934011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medicine Pc 5045 Charing Cross Rd Bloomfield Hills MI 48304-3681 Ph: () - | Primary Medicine Pc 5045 Charing Cross Rd Bloomfield Hills MI 48304-3681 Ph: (248) 953-0526 |
| NPI Number | 1427625292 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 06/09/2021 |
| Medicare PECOS PAC ID | 2668873191 |
|---|---|
| Medicare Enrollment ID | O20210622001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427625292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Malaz Alatassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023069770 PECOS PAC ID: 3678467578 Enrollment ID: I20040211000826 |
| Provider Name | Amir Sankari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255771218 PECOS PAC ID: 4587953914 Enrollment ID: I20160525000612 |
| Provider Name | Carmen Visner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629596788 PECOS PAC ID: 8123386414 Enrollment ID: I20171214000573 |
| Provider Name | Rodi Olli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649864430 PECOS PAC ID: 4789092883 Enrollment ID: I20210408002483 |
| Provider Name | Laith N Al-janabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053817239 PECOS PAC ID: 9537418132 Enrollment ID: I20210520001067 |
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