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1861615452

NPI Code Detail

MEDICARE: PRIME MEDICAL GROUP PC

MEDICARE: PRIME MEDICAL GROUP 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	207RI0011X	Interventional Cardiology Physician	4301085958	MI
2	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	5101016443	MI
3	363L00000X	Nurse Practitioner	4704216332	MI
4	163WC3500X	Cardiac Rehabilitation Registered Nurse
5	2086S0129X	Vascular Surgery Physician	4301062994	MI
6	207RC0000X	Cardiovascular Disease Physician	4301075121	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861615452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	4455 TOWN CENTER PKWY
Second Line	:	SUITE A
City	:	FLINT
State	:	MI
Zip	:	48532-3425
Country	:	US
Telephone Number	:	810-720-3370
Fax Number	:	810-720-3367

Provider Business Practice Location Address
First Line	:	4455 TOWN CENTER PKWY
Second Line	:	SUITE A
City	:	FLINT
State	:	MI
Zip	:	48532-3425
Country	:	US
Telephone Number	:	810-720-3370
Fax Number	:	810-720-3367

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAMIR AQEL ELIAN
Credential	:	MD
Telephone Number	:	810-720-3370

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	01/30/2026

Similar Medicare Providers

1538163217 — DR. GARY M KEOLEIAN M.D.
Practice Location Address:

4499 TOWN CENTER PKWY
FLINT, MI
48532-3425

Practice Phone: 810-733-7111
Practice Fax: 810-733-7141

1306843594 — DR. DAVID A DISKIN M.D.
Practice Location Address:

4499 TOWN CENTER PKWY
FLINT, MI
48532-3425

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Practice Fax: 810-733-7141

1548235369 — MR. SAMIR AQEL ELIAN M.D.
Practice Location Address:

4455 TOWN CENTER PKWY , SUITE A
FLINT, MI
48532-3425

Practice Phone: 810-720-3370
Practice Fax: 810-720-3367

1003992652 — DEBORAH ANN SHEERE-GALLATIN OD
Practice Location Address:

4499 TOWN CENTER PKWY
FLINT, MI
48532-3425

Practice Phone: 810-733-7111
Practice Fax: 810-733-7141

1235215864 — ANN MARIE KAUTZ-MARKLEY OD
Practice Location Address:

4499 TOWN CENTER PKWY
FLINT, MI
48532-3425

Practice Phone: 810-733-7111
Practice Fax: 810-733-7141

1316008774 — MEI OPERATIONS, PLLC
Practice Location Address:

4499 TOWN CENTER PKWY
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48532-3425

Practice Phone: 810-733-7111
Practice Fax: 810-733-7141

Directions to “PRIME MEDICAL GROUP PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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