| Endocrine Specialists, P.c. | |
|
15506 S Telegraph Rd Monroe MI 48161-5520 | |
| (734) 682-5243 | |
| (888) 677-1987 |
| Full Name | Endocrine Specialists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15506 S Telegraph Rd, Monroe, Michigan |
| Authorized Official Name and Position | Mahmood Moosa (OWNER) |
| Authorized Official Contact | 7346825243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Specialists, P.c. 15506 S Telegraph Rd Monroe MI 48161-5520 Ph: (734) 682-5243 | Endocrine Specialists, P.c. 15506 S Telegraph Rd Monroe MI 48161-5520 Ph: (734) 682-5243 |
| NPI Number | 1811125644 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 01/07/2011 |
| Medicare PECOS PAC ID | 7416095609 |
|---|---|
| Medicare Enrollment ID | O20091109000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811125644 | NPI | - | NPPES |
| 1105810772 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Mahmood Fattooh Moosa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669478681 PECOS PAC ID: 8224020581 Enrollment ID: I20040422000107 |
| Provider Name | Janet E Hiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306823182 PECOS PAC ID: 1254360514 Enrollment ID: I20050806000106 |
| Provider Name | Jacquelyn E Meldrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639534373 PECOS PAC ID: 7911206701 Enrollment ID: I20160428002031 |
| Provider Name | Lane B Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528587615 PECOS PAC ID: 6901172535 Enrollment ID: I20171108001097 |
| Provider Name | Stephanie S Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225537871 PECOS PAC ID: 1456613231 Enrollment ID: I20180606002789 |
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