Shivani Thakore, RN | |
43478 Bennington Dr, Novi, MI 48375-4009 | |
(248) 760-2069 | |
Not Available |
Full Name | Shivani Thakore |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 43478 Bennington Dr, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053983825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 475334 (Ohio) | Secondary |
163W00000X | Registered Nurse | 4704342825 (Michigan) | Primary |
Entity Name | Weill Medical College Of Cornell |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164768305 PECOS PAC ID: 6800709023 Enrollment ID: O20130308000455 |
Mailing Address | Practice Location Address |
---|---|
Shivani Thakore, RN 43478 Bennington Dr, Novi, MI 48375-4009 Ph: (248) 760-2069 | Shivani Thakore, RN 43478 Bennington Dr, Novi, MI 48375-4009 Ph: (248) 760-2069 |
Kristina M Long, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 41521 W 11 Mile Rd, Novi, MI 48375 Phone: 248-299-0030 | |
Ms. Margaret Rose Lepper, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 41521 W 11 Mile Rd, Novi, MI 48375 Phone: 248-299-0030 | |
Shannon Hartfield-smith, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 41521 W 11 Mile Rd, Novi, MI 48375 Phone: 313-541-2580 | |
Mrs. Mary Fraser, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24841 Terra Del Mar Dr, Novi, MI 48374 Phone: 248-761-9053 | |
Ellen L Wierzgac, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24371 Catherine Industrial Dr Ste 225, Novi, MI 48375 Phone: 248-675-9384 Fax: 248-869-6015 | |
Dona D Brown, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 41521 W 11 Mile Rd, Novi, MI 48375 Phone: 248-299-0030 | |
Susan Delong, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 41521 W 11 Mile Rd, Novi, MI 48375 Phone: 248-299-0030 |