Olivia Rose Souphis, MD | |
309 E 11 Mile Rd, Royal Oak, MI 48067-2735 | |
(947) 522-4900 | |
Not Available |
Full Name | Olivia Rose Souphis |
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Gender | Female |
Speciality | Family Medicine |
Location | 309 E 11 Mile Rd, Royal Oak, 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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1356961361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4301509134 (Michigan) | Primary |
Entity Name | Oakwood Ambulatory Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
Mailing Address | Practice Location Address |
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Olivia Rose Souphis, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Olivia Rose Souphis, MD 309 E 11 Mile Rd, Royal Oak, MI 48067-2735 Ph: (947) 522-4900 |
Dr. Megan C Zawaideh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 S Main St, Royal Oak, MI 48067 Phone: 248-280-6400 Fax: 248-273-0471 | |
Jun Kang, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Shikha Kalra, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 Fax: 248-898-1264 | |
Helen Ostro-brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Crooks Rd, Royal Oak, MI 48073 Phone: 248-543-2000 Fax: 248-543-2043 | |
Paul D. Krebsbach, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 26300 Woodward, Royal Oak, MI 48067 Phone: 248-546-2110 Fax: 248-546-8176 | |
Dr. Victor Samir Faris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Campbell Rd, Suite #3, Royal Oak, MI 48067 Phone: 248-850-8395 Fax: 248-850-8495 | |
Dr. Bethany Leighton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 E 11 Mile Rd, Royal Oak, MI 48067 Phone: 947-522-4900 Fax: 947-522-4910 |