| Prime Health Care Pc | |
|
27620 Farmington Rd Suite B-10 Farmington Hills MI 48334-3349 | |
| (248) 840-7480 | |
| (800) 660-6187 |
| Full Name | Prime Health Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27620 Farmington Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Mutahhar Ahmad (PRESIDENT) |
| Authorized Official Contact | 2488407480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health Care Pc 27620 Farmington Rd Suite B-10 Farmington Hills MI 48334-3349 Ph: (248) 840-7480 | Prime Health Care Pc 27620 Farmington Rd Suite B-10 Farmington Hills MI 48334-3349 Ph: (248) 840-7480 |
| NPI Number | 1518059914 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 12/18/2007 |
| Medicare PECOS PAC ID | 1557303914 |
|---|---|
| Medicare Enrollment ID | O20050525000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518059914 | NPI | - | NPPES |
| 4756764 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301065663 (Michigan) | Primary |
| Provider Name | Mutahhar Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134168388 PECOS PAC ID: 9436114840 Enrollment ID: I20041124000841 |
| Provider Name | Syed T Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326097627 PECOS PAC ID: 0547270100 Enrollment ID: I20110427000729 |
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