Organization
ACCESS IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN DAKROUB M.D (MEDICAL DIRECTOR)
(313) 216-2230
Entity
Organization
Contact information
Practice address
6450 MAPLE, DEARBORN, MI 48126
(313) 216-2230
(313) 584-3206
Mailing address
2651 SAULINO CT, DEARBORN, MI 48209
(313) 842-7010
(313) 842-5150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
4301087179
MI
208000000X
Pediatrics Physician
4301067792
MI
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/21/2007
Last updated
04/01/2024
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