Peter R Nwoke, MD | |
17331 Mack Avenue, Detroit, MI 48224-2250 | |
(313) 473-8525 | |
(313) 473-8521 |
Full Name | Peter R Nwoke |
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Gender | Male |
Speciality | General Practice |
Location | 17331 Mack Avenue, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841398955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301082666 (Michigan) | Secondary |
208600000X | Surgery | 4301082666 (Michigan) | Secondary |
208D00000X | General Practice | 4301082666 (Michigan) | Primary |
Entity Name | Sciometrix Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619649894 PECOS PAC ID: 7618367087 Enrollment ID: O20211130000679 |
Entity Name | Kancc Medical Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437710563 PECOS PAC ID: 1850760877 Enrollment ID: O20221214002712 |
Mailing Address | Practice Location Address |
---|---|
Peter R Nwoke, MD Po Box 806464, Saint Clair Shores, MI 48080-6464 Ph: (313) 473-8525 | Peter R Nwoke, MD 17331 Mack Avenue, Detroit, MI 48224-2250 Ph: (313) 473-8525 |
Karthik S Ramaseshan, MD General Practice Medicare: Medicare Enrolled Practice Location: 4646 John R St Rm B3249, Detroit, MI 48201 Phone: 248-508-1865 Fax: 864-602-6559 | |
Hussein Chahrour, MD General Practice Medicare: Medicare Enrolled Practice Location: 4201 Saint Antoine St # 9c, Detroit, MI 48201 Phone: 313-745-3433 | |
Dr. Nikki Tinay Taylor, MD General Practice Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-7317 | |
Gina Fundaro, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 4100 John R St, Detroit, MI 48201 Phone: 313-745-8042 Fax: 313-745-2314 | |
Barry Braver, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 17520 Chester St, Detroit, MI 48224 Phone: 313-884-0900 Fax: 313-884-8062 | |
Norberto Allende-jimenez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 5705 W Vernor Hwy, Detroit, MI 48209 Phone: 313-841-0395 Fax: 313-841-0580 | |
Dr. Meredith Virginia Bradley, MD General Practice Medicare: Medicare Enrolled Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 859-803-1333 |