| Medical Mobile Podiatry, Pllc | |
|
24293 Telegraph Rd Ste 212, Southfield, MI 48033-7903 | |
| (734) 493-1662 | |
| Not Available |
| Full Name | Medical Mobile Podiatry, Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 24293 Telegraph Rd Ste 212, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013347244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 5901000839 (Michigan) | Primary |
| Provider Name | Mohammed Jamaluddin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477658623 PECOS PAC ID: 4587550173 Enrollment ID: I20040223000099 |
| Provider Name | Seymoure M Balaj |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972604114 PECOS PAC ID: 0244122414 Enrollment ID: I20040325000351 |
| Provider Name | Charles J Markle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609868876 PECOS PAC ID: 0547233355 Enrollment ID: I20040818000992 |
| Provider Name | Lee M Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639250889 PECOS PAC ID: 6507866019 Enrollment ID: I20070108000195 |
| Provider Name | James E Dewitt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659309060 PECOS PAC ID: 2567562382 Enrollment ID: I20070710000339 |
| Provider Name | Sheryl G Bentzley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336338896 PECOS PAC ID: 8123109147 Enrollment ID: I20080116000320 |
| Provider Name | Lawrence B Rubin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881696953 PECOS PAC ID: 6800974429 Enrollment ID: I20080423000339 |
| Provider Name | Herman Zicherman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588752265 PECOS PAC ID: 2365581881 Enrollment ID: I20091123000331 |
| Provider Name | Louis Eldean White |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336217496 PECOS PAC ID: 0446375687 Enrollment ID: I20100913000256 |
| Provider Name | David R Basch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700863313 PECOS PAC ID: 3375659634 Enrollment ID: I20110128000538 |
| Provider Name | Dresden H P Beier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366707531 PECOS PAC ID: 5193957769 Enrollment ID: I20140414000635 |
| Provider Name | Conway T Mclean |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215085790 PECOS PAC ID: 5294891248 Enrollment ID: I20150324002215 |
| Provider Name | Eric R Gaughan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568894517 PECOS PAC ID: 7012200082 Enrollment ID: I20160728000658 |
| Provider Name | Ryan Alexander Goldfine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194107425 PECOS PAC ID: 1759675648 Enrollment ID: I20181105001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Mobile Podiatry, Pllc 18530 Grand River Ave, Detroit, MI 48223-2319 Ph: (313) 273-9400 | Medical Mobile Podiatry, Pllc 24293 Telegraph Rd Ste 212, Southfield, MI 48033-7903 Ph: (734) 493-1662 |
Dr. Richard Lee Grant, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29556 Southfield Rd, Suite 107, Southfield, MI 48076 Phone: 248-559-5959 Fax: 248-559-0552 | |
Rashonda Jones, Podiatrist Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Foot And Heel Pain Institute Of Michigan Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 608, Southfield, MI 48075 Phone: 248-557-6500 Fax: 248-557-2781 | |
Dr. Alaa Fawaz, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075 Phone: 248-849-3415 | |
Michael W Krupic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22972 Lahser Rd, Southfield, MI 48033 Phone: 248-353-0096 Fax: 248-353-4235 | |
Dr. Jason Bernard James Kurek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17515 West 9 Mile Rd, Suite 340, Southfield, MI 48075 Phone: 248-569-4000 Fax: 248-569-5771 |