Hospitalist Medicine Physicians Of Michigan - Dowagiac, Pllc | |
1521 Gull Rd Kalamazoo MI 49048-1640 | |
(615) 377-5658 | |
Not Available |
Full Name | Hospitalist Medicine Physicians Of Michigan - Dowagiac, Pllc |
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Speciality | Internal Medicine |
Location | 1521 Gull Rd, Kalamazoo, Michigan |
Authorized Official Name and Position | Shannon Lagrone (DIRECTOR PAYER ENROLLMENT) |
Authorized Official Contact | 2144225715 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hospitalist Medicine Physicians Of Michigan - Dowagiac, Pllc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Michigan - Dowagiac, Pllc 1521 Gull Rd Kalamazoo MI 49048-1640 Ph: (615) 377-5658 |
NPI Number | 1932957495 |
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Provider Enumeration Date | 05/09/2024 |
Last Update Date | 05/14/2024 |
Medicare PECOS PAC ID | 3678018868 |
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Medicare Enrollment ID | O20240711003843 |
Identifier | Type | State | Issuer |
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1932957495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Yaqub Nadeem Mohammed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760010474 PECOS PAC ID: 8921424193 Enrollment ID: I20230224002449 |
Provider Name | Ahsan Alam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750943981 PECOS PAC ID: 5991031015 Enrollment ID: I20240705000237 |
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