| Vu Phung Lam, MD | |
|
37595 7 Mile Rd, Suite 340, Livonia, MI 48152-1003 | |
| (734) 793-2470 | |
| (734) 793-2471 |
| Full Name | Vu Phung Lam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 37595 7 Mile Rd, 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 |
|---|---|---|---|
| 1538402318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 99311 (Georgia) | Primary |
| Entity Name | Zodiac Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083344576 PECOS PAC ID: 8022492792 Enrollment ID: O20220829003795 |
| Mailing Address | Practice Location Address |
|---|---|
| Vu Phung Lam, MD 37595 7 Mile Rd, Suite 340, Livonia, MI 48152-1003 Ph: (734) 793-2470 | Vu Phung Lam, MD 37595 7 Mile Rd, Suite 340, Livonia, MI 48152-1003 Ph: (734) 793-2470 |
Mark Gregory Marrone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18302 Middlebelt Rd, Livonia, MI 48152 Phone: 248-478-1500 Fax: 248-478-2798 | |
Ali Jafri, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: Iha Northwest Livonia Primary Care 37595 Seven Mile Rd, Livonia, MI 48152 Phone: 734-793-2470 | |
Jay Maurice Daitch, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20206 Farmington Rd, Livonia, MI 48152 Phone: 248-476-4724 Fax: 248-476-7091 | |
Dr. Mark R. Villeneuve, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Suite 202, Livonia, MI 48154 Phone: 734-542-4470 Fax: 734-542-4475 | |
Dr. John Krausman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20000 Farmington Rd, Bldg. E, Livonia, MI 48152 Phone: 248-474-1144 Fax: 248-474-1548 | |
Justin Cykiert, Internal Medicine Medicare: Medicare Enrolled Practice Location: 20317 Farmington Rd, Livonia, MI 48152 Phone: 248-615-0777 | |
Mark A Rasak, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17880 Farmington Rd, Livonia, MI 48152 Phone: 248-615-7300 Fax: 248-615-7333 |