Highland Park Medical Center, Pllc | |
15119 Woodward Ave Highland Park MI 48203-2907 | |
(313) 865-2020 | |
Not Available |
Full Name | Highland Park Medical Center, Pllc |
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Speciality | Family Medicine |
Location | 15119 Woodward Ave, Highland Park, Michigan |
Authorized Official Name and Position | Sunitha Nambiar (MEDICAL DIRECTOR) |
Authorized Official Contact | 3138652020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highland Park Medical Center, Pllc 15119 Woodward Ave Highland Park MI 48203-2907 Ph: (313) 865-2020 | Highland Park Medical Center, Pllc 15119 Woodward Ave Highland Park MI 48203-2907 Ph: (313) 865-2020 |
NPI Number | 1023305026 |
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Provider Enumeration Date | 06/29/2011 |
Last Update Date | 06/29/2011 |
Medicare PECOS PAC ID | 1658540240 |
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Medicare Enrollment ID | O20110817000117 |
Identifier | Type | State | Issuer |
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1023305026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ashwani Jaiswal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538369426 PECOS PAC ID: 6507925492 Enrollment ID: I20081106000754 |
Provider Name | Sunitha Nambiar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639376858 PECOS PAC ID: 5799800108 Enrollment ID: I20100908000916 |
Highland Park Health Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13111 Woodward Ave, Highland Park, MI 48203 Phone: 313-865-2800 Fax: 313-866-6661 | |
S.a.y Detroit Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Glendale St Ste 1000, Highland Park, MI 48203 Phone: 313-758-6100 | |
Preferred Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Glendale St Ste 200, Highland Park, MI 48203 Phone: 313-564-8930 Fax: 313-564-8933 | |
Preferred Medical Professionals, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Glendale St, Suite 323, Highland Park, MI 48203 Phone: 313-564-8930 Fax: 313-564-8933 | |
Wally S. Mahar, M.d. P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Midland St, Highland Park, MI 48203 Phone: 586-556-1997 Fax: 313-731-7025 | |
Jagneswar Saha Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Alendale, Suite 200, Highland Park, MI 48203 Phone: 313-865-2020 Fax: 313-866-2413 |