Moussa Pacha, Homam

Moussa Pacha, Homam is an sole proprietor health care provider with primary practice located at 4201 Saint Antoine St # 9C , Detroit MI 48201-2153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Moussa Pacha, Homam can be contacted via phone (313) 745-5146.

Contact Information

Primary practice address
4201 Saint Antoine St # 9C Detroit MI 48201-2153
Phone: (313) 745-5146
Fax: (313) 745-5146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 67883 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 67883 Arizona

Profile Details

NPI number 1275995425
LBN Legal business name Moussa Pacha, Homam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2016
Last updated Nov 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275995425 NPPES
Arizona MEDICAID 129869

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