| Samina Ansar Ghazi Md Pc | |
|
33110 W 12 Mile Rd Farmington Hills MI 48334-3307 | |
| (248) 489-9070 | |
| (248) 489-9076 |
| Full Name | Samina Ansar Ghazi Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 33110 W 12 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Samina Ansar Ghazi (OWNER) |
| Authorized Official Contact | 2484899070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samina Ansar Ghazi Md Pc 28907 E King William Dr Farmington Hills MI 48331-2579 Ph: (248) 553-2886 | Samina Ansar Ghazi Md Pc 33110 W 12 Mile Rd Farmington Hills MI 48334-3307 Ph: (248) 489-9070 |
| NPI Number | 1144366758 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 03/21/2011 |
| Medicare PECOS PAC ID | 8628164183 |
|---|---|
| Medicare Enrollment ID | O20071012000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144366758 | NPI | - | NPPES |
| 4495327-10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301060000 (Michigan) | Primary |
| Provider Name | Samina A Ghazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754980 PECOS PAC ID: 2264528827 Enrollment ID: I20071012000630 |
| Provider Name | Shafiq Rehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720447477 PECOS PAC ID: 5294026415 Enrollment ID: I20160620000589 |
| Provider Name | Lynne A Kojamanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780111948 PECOS PAC ID: 6608140652 Enrollment ID: I20170914003179 |
| Provider Name | Hania Ul Ghazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225650567 PECOS PAC ID: 9739536236 Enrollment ID: I20231106000263 |
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