Corazon Medical PC
NPI 1902511157ActiveOrganization· Radiology, Diagnostic Radiology· Dearborn, MI
Radiology, Diagnostic Radiology in Dearborn, Michigan, registered in NPPES in January 2023. The authorized official on file is Abir Mehanna, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902511157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2023 |
| Last updated in NPPES | Feb 29, 2024 |
| Certified by provider | Feb 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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