| Dr Padma Aysola Md Pc | |
|
19930 Farmington Rd Suite C Livonia MI 48152-1433 | |
| (248) 474-9866 | |
| (248) 474-9867 |
| Full Name | Dr Padma Aysola Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 19930 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Padma Aysola (PHYSICIAN) |
| Authorized Official Contact | 2484749866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Padma Aysola Md Pc 30129 Deer Run Farmington Hills MI 48331-6010 Ph: (248) 474-9866 | Dr Padma Aysola Md Pc 19930 Farmington Rd Suite C Livonia MI 48152-1433 Ph: (248) 474-9866 |
| NPI Number | 1346378353 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 11/15/2012 |
| Medicare PECOS PAC ID | 6608809496 |
|---|---|
| Medicare Enrollment ID | O20050913000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346378353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA038608 (Michigan) | Primary |
| Provider Name | Padma Aysola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174585251 PECOS PAC ID: 5294768081 Enrollment ID: I20050913000572 |
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