MEDICARE: INSTA HEALTH PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154108827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTA HEALTH PC

Provider Business Mailing Address
First Line	:	23000 TELEGRAPH RD STE 3
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-9265
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23000 TELEGRAPH RD STE 3
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-9265
Country	:	US
Telephone Number	:	248-215-0048
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	DIANA EL MASRI
Credential	:
Telephone Number	:	248-215-0048

Provider Enumeration Date	:	09/14/2023
Last Update Date	:	09/14/2023

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Directions to “INSTA HEALTH PC ” Practice Location

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