AMC Primary Care & Consultants PLLC
Organization Active NPI Internal Medicine Physician · Dearborn HTS, MI
NPI 1356093462 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1356093462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- AMC PRIMARY CARE & CONSULTANTS PLLC
- Practice address
- 23850 Van Born Rd
Dearborn HTS, MI 48125-2325 - Phone
- (313) 578-1911
- NPI assigned
- Jan 20, 2022
- Organization subpart
- No
Authorized official
- Name
- Amera Gobah
- Title
- Authorized Official
- Phone
- (313) 578-1911
Practitioners 5
-
Naiff Ali, M.D.
-
Fuad Mohamed Rahimee, M.D.
-
Abraham Abdo Zindani, FNP
-
Edward Nazareno, M.D.
-
Eman Ayed Abusalah, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220304000812 | MI | Part B Supplier - Clinic/Group Practice | 6800280090 |
Receives reassigned benefits from 3 practitioners Practice locations: Dearborn Heights, MI; Southgate, MI |
National Provider Directory
Locations
23850 Van Born Rd
Ste A
Dearborn Heights, MI 48125
Phone (313) 578-1911
13650 Fort St
Southgate, MI 48195
Phone (734) 281-2150
13560 Ft St
Southgate, MI 48195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
23850 Van Born Rd
Dearborn HTS, MI 48125-2325
Mailing address
23850 Van Born Rd
Dearborn HTS, MI 48125-2325
Phone (313) 578-1911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | DEARBORNHEIGHTS | Other |
Other providers in Dearborn HTS, MI
- Suha Mohammad Abdo
- Alhuda Home Care LLC
- Layla Almaliky
- America'S Best Contacts & Eyeglasses
- Amin Group LLC
- Gillian Amritt
- Eileen Angebrandt
- Better Life Residential Care Inc
All providers in Dearborn HTS, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.