Faisal M Shareefuddin, MD | |
11111 Hall Rd, Suite 300, Utica, MI 48317-5711 | |
(586) 323-2181 | |
(586) 323-2184 |
Full Name | Faisal M Shareefuddin |
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Gender | Male |
Speciality | Family Medicine |
Location | 11111 Hall Rd, Utica, 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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1538212485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | FS082421 (Michigan) | Secondary |
207Q00000X | Family Medicine | 4301082421 (Michigan) | Primary |
Entity Name | Oakland Integrated Healthcare Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316214299 PECOS PAC ID: 9436313004 Enrollment ID: O20120611000523 |
Entity Name | Community Programs, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003247362 PECOS PAC ID: 2365741998 Enrollment ID: O20160503000377 |
Mailing Address | Practice Location Address |
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Faisal M Shareefuddin, MD Po Box 1500, Novi, MI 48376-1500 Ph: (248) 592-5138 | Faisal M Shareefuddin, MD 11111 Hall Rd, Suite 300, Utica, MI 48317-5711 Ph: (586) 323-2181 |
Kunjesh Paresh Shah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45569 Van Dyke Ave Ste 3, Utica, MI 48317 Phone: 586-258-8791 Fax: 586-799-4474 | |
Dr. Gary Stencel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49310 Van Dyke Ave, Utica, MI 48317 Phone: 586-731-8900 Fax: 586-731-7762 |