Eastborn Clinic PLLC
NPI 1578801080ActiveOrganization· Internal Medicine· Dearborn, MI
Internal Medicine in Dearborn, Michigan, registered in NPPES in January 2013. The authorized official on file is Amin S. Huballah, PA-C, Physician Assistant. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578801080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2013 |
| Last updated in NPPES | Apr 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 5601005284 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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