OrganizationTroy Primary Care Center, P.C.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address1380 Coolidge Hwy, Suite 100, Troy, MI 48084-7069(248) 288-4000PECOS EnrollmentBased on the most recent information from CMS, provider Troy Primary Care Center, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:18 AM.Profile DetailsProvider ID1902045073Provider TypeOrganizationFull NameTroy Primary Care Center, P.C.SubpartNoEnumeration Date2/13/2009Last Updated2/13/2009Contact InformationPractice LocationPractice Address1380 Coolidge Hwy, Suite 100, Troy, MI 48084-7069Phone(248) 288-4000Fax(248) 288-3900Mailing LocationMailing AddressPO Box 99640, Troy, MI 48099-9640Phone(248) 288-4000Fax(248) 288-3900Authorized OfficialNameKado, Hadeel (President)Phone(248) 288-4000Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseHK072936MichiganProvider IdentifiersIDDescriptionIssuerID4423382DescriptionMedicaidIssuerUnlistedMichigan