| Soliman Home Visiting Physicians Pllc | |
|
12173 Chandler Dr Plymouth MI 48170-3193 | |
| (310) 923-3960 | |
| Not Available |
| Full Name | Soliman Home Visiting Physicians Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 12173 Chandler Dr, Plymouth, Michigan |
| Authorized Official Name and Position | Mikhayl Samy Soliman (OWNER) |
| Authorized Official Contact | 3109233960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soliman Home Visiting Physicians Pllc 12173 Chandler Dr Plymouth MI 48170-3193 Ph: (310) 923-3960 | Soliman Home Visiting Physicians Pllc 12173 Chandler Dr Plymouth MI 48170-3193 Ph: (310) 923-3960 |
| NPI Number | 1093955700 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093955700 | NPI | - | NPPES |
| 4845990 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301 086758 (Michigan) | Primary |
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