Individual ProviderUnknown WasimInternal MedicineAllopathic & Osteopathic PhysiciansPractice AddressCorewell Health Beaumont Hospital Royal Oak, 3601 West 13 Mile Road, Internal Medicine-Pediatric Res, Royal Oak, MI 48073(248) 898-1493(248) 890-4250PECOS EnrollmentBased on the most recent information from CMS, provider Unknown Wasim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1134902307Provider TypeIndividualFull NameWasim, UnknownCredentialMBBS/MDGenderMaleSole ProprietorNoEnumeration Date8/14/2023Last Updated10/12/2023Contact InformationPractice LocationPractice AddressCorewell Health Beaumont Hospital Royal Oak, 3601 West 13 Mile Road, Internal Medicine-Pediatric Res, Royal Oak, MI 48073Phone(248) 898-1493FaxUnlisted FaxMailing LocationMailing Address4062 West 13 Mile Road, Apartment A, Royal Oak, MI 48073Phone(248) 890-4250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4351051792MichiganCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense4351051792Michigan