Michigan Sports Medicine Pc
Sports Medicine
23902 Ford Rd, Suite A, Dearborn Heights
Michigan, 48127-3246
313-562-4700 313-562-4701
Michigan Sports Medicine Pc is a Sports Medicine in Dearborn Heights, Michigan. It is located at 23902 Ford Rd, Suite A, Dearborn Heights and it's customer support contact number is 313-562-4700. The authorized person of Michigan Sports Medicine Pc is Dr. Tarek Hadla, MD who is Md of this DME and his contact number is 313-562-4700. Active license number of Michigan Sports Medicine Pc is 4301065806 for Sports Medicine in Michigan. Michigan Sports Medicine Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Michigan Sports Medicine Pc is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
DME Supplier Details:
Michigan Sports Medicine Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Michigan Sports Medicine Pc |
| Type: | Sports Medicine |
| Location: | 23902 Ford Rd, Suite A, Dearborn Heights,
Michigan, 48127-3246 |
| Phone: | 313-562-4700 |
| Fax: | 313-562-4701 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Tarek Hadla |
| Credentials: | MD |
| Position: | Md |
| Contact Number: | 313-562-4700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1326481623 |
| NPI Enumeration Date: | 17 Apr, 2013 |
| NPI Last Update On: | 15 May, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michigan Sports Medicine Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Sports Medicine | 4301065806 | Michigan | Primary | |
| Durable Medical Equipment & Medical Supplies | 4301095806 | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0H28306 | Other | Michigan | Bcbs Grp |
| DU1788 | Other | Michigan | Railroad Medicare |
| 0H28306 | Other | Michigan | Bcn Grp |
| 1326481623 | Medicaid | Michigan | |
| 6986550001 | Other | Michigan | Medicare Dme |
Medicare Enrollment:
Michigan Sports Medicine Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9335373190 | O20131009001925 | Michigan Sports Medicine Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 23902 Ford Rd, Suite A
Dearborn Heights, Michigan |
| Zip: | 48127-3246 |
| Phone Number: | 313-562-4700 |
| Fax Number: | 313-562-4701 |
Patients can reach Michigan Sports Medicine Pc at
23902 Ford Rd, Suite A, Dearborn Heights, Michigan or can
call on customer care at 313-562-4700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.