Reliant Physician Services Pc | |
5880 N Canton Center Rd Ste 412 Canton MI 48187-2686 | |
(734) 368-3159 | |
(734) 667-3492 |
Full Name | Reliant Physician Services Pc |
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Speciality | Internal Medicine |
Location | 5880 N Canton Center Rd Ste 412, Canton, Michigan |
Authorized Official Name and Position | Fauziya Hassan (PRESIDENT) |
Authorized Official Contact | 7343683159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reliant Physician Services Pc 7286 Brentwood Ct Ypsilanti MI 48198-8701 Ph: (734) 368-3159 | Reliant Physician Services Pc 5880 N Canton Center Rd Ste 412 Canton MI 48187-2686 Ph: (734) 368-3159 |
NPI Number | 1447910906 |
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Provider Enumeration Date | 12/26/2021 |
Last Update Date | 12/26/2021 |
Medicare PECOS PAC ID | 2567900368 |
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Medicare Enrollment ID | O20240812001955 |
Identifier | Type | State | Issuer |
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1447910906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fauziya Hassan |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1407971583 PECOS PAC ID: 4587731773 Enrollment ID: I20081008000485 |
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