| House Mds Plc | |
|
25810 Kelly Rd Ste 1 Roseville MI 48066-4467 | |
| (407) 432-7483 | |
| Not Available |
| Full Name | House Mds Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25810 Kelly Rd Ste 1, Roseville, Michigan |
| Authorized Official Name and Position | Joram Mogaka (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4074327483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Mds Plc 25810 Kelly Rd Ste 1 Roseville MI 48066-4467 Ph: (407) 432-7483 | House Mds Plc 25810 Kelly Rd Ste 1 Roseville MI 48066-4467 Ph: (407) 432-7483 |
| NPI Number | 1790411221 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Medicare PECOS PAC ID | 9830572312 |
|---|---|
| Medicare Enrollment ID | O20220816001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790411221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stanislaus J Orowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144370479 PECOS PAC ID: 8022080985 Enrollment ID: I20040811000155 |
| Provider Name | Joram O Mogaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255407631 PECOS PAC ID: 8820044738 Enrollment ID: I20050328000123 |
| Provider Name | Mohammad F Sunbulli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841571544 PECOS PAC ID: 6507011525 Enrollment ID: I20130225000022 |
| Provider Name | Ugoala C Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962596700 PECOS PAC ID: 8426055526 Enrollment ID: I20220310001513 |
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