Individual
HOMAM MOUSSA PACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
(313) 745-5146
(313) 745-5146
Mailing address
PO BOX 3539, LAKE HAVASU CITY, AZ 86405-3539
(928) 453-2727
(928) 453-2828
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
67883
AZ
207RI0011X
Interventional Cardiology Physician
67883
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129869
—
AZ
Enumeration date
03/27/2016
Last updated
11/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us