Jessica Love, | |
29370 Plymouth Rd Ste 100, Livonia, MI 48150-2399 | |
(734) 655-8200 | |
Not Available |
Full Name | Jessica Love |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 29370 Plymouth Rd Ste 100, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053975524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301509230 (Michigan) | Primary |
207R00000X | Internal Medicine | 4301509230 (Michigan) | Secondary |
Entity Name | Iha Olma Primary Care Risk Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578162319 PECOS PAC ID: 1153733324 Enrollment ID: O20201211000387 |
Mailing Address | Practice Location Address |
---|---|
Jessica Love, 28041 Parkhill St, Farmington Hills, MI 48334-3508 Ph: (248) 346-5340 | Jessica Love, 29370 Plymouth Rd Ste 100, Livonia, MI 48150-2399 Ph: (734) 655-8200 |
Vasantha K. Kulasekere, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 29200 Schoolcraft, Livonia, MI 48150 Phone: 734-523-1050 Fax: 734-523-2464 | |
Dr. Nalini Chakravarthy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 37595 7 Mile Rd, Suite 420, Livonia, MI 48152 Phone: 734-459-7444 Fax: 734-459-7755 | |
Srinivas Baliga, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17940 Farmington, Suite 130, Livonia, MI 48152 Phone: 734-266-2488 Fax: 734-266-3632 | |
Todd Steven Marcus, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29526 6 Mile Rd Ste B, Livonia, MI 48152 Phone: 734-464-7700 Fax: 734-953-4259 | |
Dr. Veena Sabharwal, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 37672 Professional Center Dr, Suite 120, Livonia, MI 48154 Phone: 734-591-0220 Fax: 734-591-0236 | |
Salma Aftab, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19930 Farmington Rd, Suite C, Livonia, MI 48152 Phone: 248-306-0180 Fax: 248-306-0182 |