Clara Kamath-wood Md Pllc | |
18245 E 10 Mile Rd Ste 120 Roseville MI 48066-5807 | |
(586) 265-2680 | |
(586) 265-2240 |
Full Name | Clara Kamath-wood Md Pllc |
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Speciality | Family Medicine |
Location | 18245 E 10 Mile Rd Ste 120, Roseville, Michigan |
Authorized Official Name and Position | Clara Kamath-wood (OWNER) |
Authorized Official Contact | 5862652680 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clara Kamath-wood Md Pllc Po Box 3272 Saginaw MI 48605-3272 Ph: (989) 797-1400 | Clara Kamath-wood Md Pllc 18245 E 10 Mile Rd Ste 120 Roseville MI 48066-5807 Ph: (586) 265-2680 |
NPI Number | 1073256145 |
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Provider Enumeration Date | 04/18/2022 |
Last Update Date | 10/17/2022 |
Medicare PECOS PAC ID | 6507243854 |
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Medicare Enrollment ID | O20220506002091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073256145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Clara Kamath-wood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548377328 PECOS PAC ID: 4486651254 Enrollment ID: I20100812000496 |
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