Organization
HICHAM A. EL-HORR MD, PC
Active
Other names
DEARBORN FAMILY MEDICINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HICHAM A EL-HORR MD (OWNER/PHYSICIAN)
(313) 606-1600
Entity
Organization
Contact information
Practice address
5728 SCHAEFER RD, SUITE 204, DEARBORN, MI 48126-2298
(313) 624-3011
(313) 624-3012
Mailing address
PO BOX 3087, MELVINDALE, MI 48122-0087
(313) 624-3011
(313) 624-3012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024693
MIDWEST
MI
01
—
0808249182
BCBS
MA
01
—
0808249182
BCN
MI
01
—
080H232090
BCN
MI
05
—
481080
—
MI
01
—
7069810
AETNA
MI
01
—
DP2143
RAILROAD MEDICARE
MI
Enumeration date
05/23/2006
Last updated
10/14/2009
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