| Primedical Healthcare Group Pllc | |
|
7542 Wyoming St Dearborn MI 48126-1690 | |
| (313) 415-1515 | |
| (313) 659-6394 |
| Full Name | Primedical Healthcare Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7542 Wyoming St, Dearborn, Michigan |
| Authorized Official Name and Position | Ahmad Ahmad (MANAGING MEMBER) |
| Authorized Official Contact | 5867189090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedical Healthcare Group Pllc 7542 Wyoming St Dearborn MI 48126-1690 Ph: (313) 415-1515 | Primedical Healthcare Group Pllc 7542 Wyoming St Dearborn MI 48126-1690 Ph: (313) 415-1515 |
| NPI Number | 1497459101 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 4385009448 |
|---|---|
| Medicare Enrollment ID | O20230426000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497459101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad M Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992048607 PECOS PAC ID: 0648568501 Enrollment ID: I20161007001343 |
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