Dr Ivan Kamikovski, MD | |
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
(248) 849-3073 | |
Not Available |
Full Name | Dr Ivan Kamikovski |
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Gender | Male |
Speciality | Surgery |
Location | 16001 W 9 Mile Rd, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073953030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301103823 (Michigan) | Primary |
Entity Name | University Of Minnesota Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
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Dr Ivan Kamikovski, MD 22655 Fairmont Dr, 201, Farmington Hills, MI 48335-4067 Ph: (917) 575-7418 | Dr Ivan Kamikovski, MD 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3073 |
Violet Onkoba, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 27209 Lahser Rd Ste 128, Southfield, MI 48034 Phone: 248-353-0200 | |
Kristopher Mahlon George, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2600 Fax: 248-849-2610 | |
Khatchadour Hamamdjian, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 27177 Lahser Rd, Suite Number 104, Southfield, MI 48034 Phone: 248-353-6580 Fax: 248-353-0883 | |
Carly Beth Young, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr Ste 703a, Southfield, MI 48075 Phone: 248-849-5862 | |
Nafisa Kuwajerwala, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 700, Southfield, MI 48075 Phone: 248-559-5115 | |
Vijay K Mittal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Drive, Suite 703a, Southfield, MI 48075 Phone: 248-849-5862 Fax: 248-849-8117 |