| Waseem G Petros Md Pllc | |
|
2221 Livernois Rd Ste 100 Troy MI 48083 | |
| (248) 250-9474 | |
| (248) 250-9483 |
| Full Name | Waseem G Petros Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2221 Livernois Rd Ste 100, Troy, Michigan |
| Authorized Official Name and Position | Waseem Ghanim Petros (PRESIDENT) |
| Authorized Official Contact | 2482508233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waseem G Petros Md Pllc 2221 Livernois Rd Ste 100 Troy MI 48083-1603 Ph: (248) 250-8233 | Waseem G Petros Md Pllc 2221 Livernois Rd Ste 100 Troy MI 48083 Ph: (248) 250-9474 |
| NPI Number | 1104346634 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 1052681814 |
|---|---|
| Medicare Enrollment ID | O20170727000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104346634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301105506 (Michigan) | Primary |
| Provider Name | Waseem Ghanim Petros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154740942 PECOS PAC ID: 2163724873 Enrollment ID: I20170727000411 |
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