| Comprehensive Medical Group Pc | |
|
3499 S Linden Rd Suite 2 Flint MI 48507-3022 | |
| (810) 820-8121 | |
| (810) 820-8335 |
| Full Name | Comprehensive Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3499 S Linden Rd, Flint, Michigan |
| Authorized Official Name and Position | Eugene Chardoul (OWNER) |
| Authorized Official Contact | 8107205715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Medical Group Pc 3499 S Linden Rd Suite 2 Flint MI 48507-3022 Ph: (810) 720-5715 | Comprehensive Medical Group Pc 3499 S Linden Rd Suite 2 Flint MI 48507-3022 Ph: (810) 820-8121 |
| NPI Number | 1588945091 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 6305019514 |
|---|---|
| Medicare Enrollment ID | O20111103000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588945091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301023744 (Michigan) | Primary |
| Provider Name | Eugene N Chardoul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154360378 PECOS PAC ID: 6507826773 Enrollment ID: I20041209000911 |
| Provider Name | Mark A Kachadurian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376540286 PECOS PAC ID: 5294706065 Enrollment ID: I20060623000138 |
| Provider Name | Shawn M Gorkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801625 PECOS PAC ID: 2163730847 Enrollment ID: I20150929002692 |
| Provider Name | David L Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346503349 PECOS PAC ID: 1658526892 Enrollment ID: I20160217000381 |
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