| Ali Orandi M.d., Plc | |
|
1310 Greenwood Ave Suite 20 Jackson MI 49203-3077 | |
| (517) 990-0029 | |
| (517) 990-0039 |
| Full Name | Ali Orandi M.d., Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1310 Greenwood Ave, Jackson, Michigan |
| Authorized Official Name and Position | Barbara A Hicks (OFFICE MANAGER) |
| Authorized Official Contact | 5179900029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Orandi M.d., Plc 1310 Greenwood Ave Suite 20 Jackson MI 49203-3077 Ph: (517) 990-0029 | Ali Orandi M.d., Plc 1310 Greenwood Ave Suite 20 Jackson MI 49203-3077 Ph: (517) 990-0029 |
| NPI Number | 1376681379 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6002918778 |
|---|---|
| Medicare Enrollment ID | O20070227000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376681379 | NPI | - | NPPES |
| PENDING | Medicaid | MI | |
| 0420088 | Other | MI | PHP |
| 1103811341 | Other | MI | BCBS |
| 4390534 | Other | MI | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301061289 (Michigan) | Primary |
| Provider Name | Ali Orandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881768810 PECOS PAC ID: 9537125125 Enrollment ID: I20041206000577 |
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