| West Dearborn Urgent Care Pllc | |
|
2421 Monroe St Ste 102 Dearborn MI 48124-3043 | |
| (313) 447-0888 | |
| (313) 458-4004 |
| Full Name | West Dearborn Urgent Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2421 Monroe St Ste 102, Dearborn, Michigan |
| Authorized Official Name and Position | Ghattas Alkhoury (MEDICAL DOCTOR/OWNER) |
| Authorized Official Contact | 4194811945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Dearborn Urgent Care Pllc 2421 Monroe St Ste 102 Dearborn MI 48124-3043 Ph: (313) 447-0888 | West Dearborn Urgent Care Pllc 2421 Monroe St Ste 102 Dearborn MI 48124-3043 Ph: (313) 447-0888 |
| NPI Number | 1124788666 |
|---|---|
| Provider Enumeration Date | 12/25/2021 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 8729470281 |
|---|---|
| Medicare Enrollment ID | O20220113002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124788666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Soha Alfares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922339977 PECOS PAC ID: 4486897097 Enrollment ID: I20130829000829 |
| Provider Name | Ghattas Alkhoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347000 PECOS PAC ID: 1254635253 Enrollment ID: I20201118001623 |
| Provider Name | Rifat H Saad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134875388 PECOS PAC ID: 3072983063 Enrollment ID: I20230109002283 |
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