Iha Olma Primary Non Risk Llc | |
37595 7 Mile Rd Ste 210 Livonia MI 48152-1003 | |
(734) 853-5694 | |
(734) 430-9388 |
Full Name | Iha Olma Primary Non Risk Llc |
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Speciality | Family Medicine |
Location | 37595 7 Mile Rd Ste 210, Livonia, Michigan |
Authorized Official Name and Position | Cynthia A Elliott (PRESIDENT & COO) |
Authorized Official Contact | 7343270341 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iha Olma Primary Non Risk Llc 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 Ph: (734) 327-0872 | Iha Olma Primary Non Risk Llc 37595 7 Mile Rd Ste 210 Livonia MI 48152-1003 Ph: (734) 853-5694 |
NPI Number | 1073112819 |
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Provider Enumeration Date | 10/22/2020 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 1759792799 |
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Medicare Enrollment ID | O20201124001881 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073112819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kathleen Dooley |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1639224280 PECOS PAC ID: 6901894658 Enrollment ID: I20040503001077 |
Provider Name | Sudha Chakravarty |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205823069 PECOS PAC ID: 1456310853 Enrollment ID: I20041008001434 |
Provider Name | Robert N Israel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083688261 PECOS PAC ID: 5991749111 Enrollment ID: I20050617000313 |
Provider Name | Christine Brenner |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1013983899 PECOS PAC ID: 3870521081 Enrollment ID: I20050729000253 |
Provider Name | Tejal Shah Joseph |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013995125 PECOS PAC ID: 8426062001 Enrollment ID: I20060202000878 |
Provider Name | Samuel T. Fawaz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295945996 PECOS PAC ID: 8729179353 Enrollment ID: I20070810000172 |
Provider Name | Nicole L Rothenberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609093491 PECOS PAC ID: 3173661469 Enrollment ID: I20091106000035 |
Provider Name | Prasad L Mikkilineni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871585562 PECOS PAC ID: 2961502364 Enrollment ID: I20100204000787 |
Provider Name | Christine R Schloesser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982720066 PECOS PAC ID: 6103963293 Enrollment ID: I20100929001096 |
Provider Name | Tanya L Rodgers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619945151 PECOS PAC ID: 2769678390 Enrollment ID: I20101122001154 |
Provider Name | Kevin Bohnsack |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205825023 PECOS PAC ID: 7012195811 Enrollment ID: I20110627000345 |
Provider Name | Mark Michaels |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740546837 PECOS PAC ID: 5193945459 Enrollment ID: I20141008001842 |
Provider Name | Charan K Cheema |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598021164 PECOS PAC ID: 4587896535 Enrollment ID: I20150803000814 |
Provider Name | Nicole R Robertson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922361302 PECOS PAC ID: 1456583830 Enrollment ID: I20150921000363 |
Provider Name | Nicole Kohnen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992965651 PECOS PAC ID: 0840584926 Enrollment ID: I20160812000093 |
Provider Name | David Michael Smeenge |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225415169 PECOS PAC ID: 7416251822 Enrollment ID: I20180627001116 |
Provider Name | Michael Wowk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366805210 PECOS PAC ID: 0042508947 Enrollment ID: I20190515001384 |
Provider Name | Andrew Gush |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043743131 PECOS PAC ID: 9335413012 Enrollment ID: I20200717002814 |
Provider Name | Alexa Donna Norwick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811493356 PECOS PAC ID: 5496001513 Enrollment ID: I20210723002968 |
Provider Name | Eleni M. Scott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841784022 PECOS PAC ID: 6204182348 Enrollment ID: I20211005002022 |
Provider Name | Anna Pierzchala |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265728802 PECOS PAC ID: 1153645437 Enrollment ID: I20211207001912 |
Provider Name | Katelyn E Bonkowski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043870280 PECOS PAC ID: 2264769439 Enrollment ID: I20221005002358 |
Provider Name | Trishya Reddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568081313 PECOS PAC ID: 3072939826 Enrollment ID: I20230713001492 |
Provider Name | Uthara Rajasekhar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831753110 PECOS PAC ID: 4486988359 Enrollment ID: I20230724000798 |
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Blessed Mc, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34441 8 Mile Rd, Ste 104, Livonia, MI 48152 Phone: 313-772-0406 | |
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