| Inpatient Consultants Of Michigan Pc | |
|
36123 Schoolcraft Rd Livonia MI 48150-1216 | |
| (734) 793-6140 | |
| (734) 402-0254 |
| Full Name | Inpatient Consultants Of Michigan Pc |
|---|---|
| Speciality | Hospitalist |
| Location | 36123 Schoolcraft Rd, Livonia, Michigan |
| Authorized Official Name and Position | Duane Mast (PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Consultants Of Michigan Pc 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Inpatient Consultants Of Michigan Pc 36123 Schoolcraft Rd Livonia MI 48150-1216 Ph: (734) 793-6140 |
| NPI Number | 1861442824 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 6709891286 |
|---|---|
| Medicare Enrollment ID | O20060221000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861442824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | David Criss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326110305 PECOS PAC ID: 4880507367 Enrollment ID: I20031111000121 |
| Provider Name | Bruce G Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245236215 PECOS PAC ID: 1052211703 Enrollment ID: I20040109001031 |
| Provider Name | Ahmad R Zeibo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922092816 PECOS PAC ID: 8820999238 Enrollment ID: I20040119000380 |
| Provider Name | Steven N Glavas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538173752 PECOS PAC ID: 4183525421 Enrollment ID: I20040119000538 |
| Provider Name | Taher Ata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629083266 PECOS PAC ID: 7618860941 Enrollment ID: I20040202001155 |
| Provider Name | Stephanie L Whisiker-lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992710446 PECOS PAC ID: 9638062532 Enrollment ID: I20040204000944 |
| Provider Name | Christy M Thallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649245010 PECOS PAC ID: 2961399902 Enrollment ID: I20040303000647 |
| Provider Name | Gina Marie Dambrosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790789055 PECOS PAC ID: 0547255796 Enrollment ID: I20040416001179 |
| Provider Name | Jeetender S Matharu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255310397 PECOS PAC ID: 7911993589 Enrollment ID: I20040421000670 |
| Provider Name | Michelle M Trudeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641441 PECOS PAC ID: 7315935483 Enrollment ID: I20040505001539 |
| Provider Name | Cristian Daniel Boboc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699790154 PECOS PAC ID: 9931183928 Enrollment ID: I20040616001269 |
| Provider Name | Colleen A Hartwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720056757 PECOS PAC ID: 5092792051 Enrollment ID: I20040707000840 |
| Provider Name | Madelon K Krissoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134340003 PECOS PAC ID: 0547232902 Enrollment ID: I20040806001282 |
| Provider Name | Rafael L Barretto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942202122 PECOS PAC ID: 2567434707 Enrollment ID: I20040809001246 |
| Provider Name | Kenneth B Gallmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124004817 PECOS PAC ID: 9537135595 Enrollment ID: I20040909001312 |
| Provider Name | Jerome Wilborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750351516 PECOS PAC ID: 2163412834 Enrollment ID: I20040913000586 |
| Provider Name | Mohammed A Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174502975 PECOS PAC ID: 7810962529 Enrollment ID: I20040918000088 |
| Provider Name | Elizabeth Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770546632 PECOS PAC ID: 6608844477 Enrollment ID: I20040920000661 |
| Provider Name | Tony Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396741567 PECOS PAC ID: 0042270795 Enrollment ID: I20041016000096 |
| Provider Name | Anil Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013970805 PECOS PAC ID: 7214999176 Enrollment ID: I20041102000937 |
| Provider Name | Samra Khurshid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669477246 PECOS PAC ID: 3678536505 Enrollment ID: I20041110001190 |
| Provider Name | Lorraine Z Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710075023 PECOS PAC ID: 6103805114 Enrollment ID: I20050103000889 |
| Provider Name | Carol J Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255301958 PECOS PAC ID: 4789631797 Enrollment ID: I20050401000489 |
| Provider Name | Kenneth Granke |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851338347 PECOS PAC ID: 9830139476 Enrollment ID: I20050503001181 |
| Provider Name | Rakesh Lattupalli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841292158 PECOS PAC ID: 2264475052 Enrollment ID: I20050602000694 |
| Provider Name | Mohammad Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811904527 PECOS PAC ID: 1850334640 Enrollment ID: I20050602000734 |
| Provider Name | Debra J Gaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063501765 PECOS PAC ID: 6800830654 Enrollment ID: I20050614000138 |
| Provider Name | Osama Nicola Nunu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831191170 PECOS PAC ID: 6507893070 Enrollment ID: I20050726001036 |
| Provider Name | Lauri B Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023010360 PECOS PAC ID: 3375571060 Enrollment ID: I20050803000406 |
| Provider Name | Vijayanirmala Yedulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346210119 PECOS PAC ID: 8921037490 Enrollment ID: I20050805000322 |
| Provider Name | Lisa J Gallmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629167341 PECOS PAC ID: 4587697677 Enrollment ID: I20050919000458 |
| Provider Name | Christie Ann Schunemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013909001 PECOS PAC ID: 9436176559 Enrollment ID: I20051028000113 |
| Provider Name | Gurdeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487624235 PECOS PAC ID: 7618995820 Enrollment ID: I20051107000380 |
| Provider Name | Gary S Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205839909 PECOS PAC ID: 1254243785 Enrollment ID: I20051108000095 |
| Provider Name | Aneeta Rridhi Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558331306 PECOS PAC ID: 4880615343 Enrollment ID: I20051212000659 |
| Provider Name | Phillip S Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619075637 PECOS PAC ID: 7012958333 Enrollment ID: I20060207000695 |
| Provider Name | Shyam Mahesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962407569 PECOS PAC ID: 1850308131 Enrollment ID: I20060310000437 |
| Provider Name | Duane M Saxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366430902 PECOS PAC ID: 0648288993 Enrollment ID: I20060328000321 |
| Provider Name | Stacie Louise Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700844545 PECOS PAC ID: 7113937939 Enrollment ID: I20060424000665 |
| Provider Name | J Adam Kellman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386624187 PECOS PAC ID: 1759393622 Enrollment ID: I20060613000290 |
| Provider Name | Nashwan Y Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124042288 PECOS PAC ID: 9739183278 Enrollment ID: I20060914000182 |
| Provider Name | Walter C Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548244304 PECOS PAC ID: 2860498318 Enrollment ID: I20061006000123 |
| Provider Name | Shakeela Shakoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265489819 PECOS PAC ID: 8123024577 Enrollment ID: I20061009000231 |
| Provider Name | David M Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831131788 PECOS PAC ID: 3870599905 Enrollment ID: I20061013000110 |
| Provider Name | Polina Benkenshtadt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659332757 PECOS PAC ID: 8628066792 Enrollment ID: I20061226000025 |
| Provider Name | Maya Ashkenazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376523233 PECOS PAC ID: 0749280519 Enrollment ID: I20061228000418 |
| Provider Name | Crista Broutin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265537625 PECOS PAC ID: 2062412810 Enrollment ID: I20070102000153 |
| Provider Name | Doris V Coca Soto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093882631 PECOS PAC ID: 5890898811 Enrollment ID: I20070313000286 |
| Provider Name | Nada S Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336368950 PECOS PAC ID: 2163529215 Enrollment ID: I20070524000136 |
| Provider Name | Janaina M Zilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366544058 PECOS PAC ID: 6103927785 Enrollment ID: I20070726000376 |
| Provider Name | Jayaseeli Bastin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437365897 PECOS PAC ID: 4981791878 Enrollment ID: I20071024000239 |
| Provider Name | Anjali Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467653261 PECOS PAC ID: 4981791688 Enrollment ID: I20071026000710 |
| Provider Name | Jennifer Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013107366 PECOS PAC ID: 7618064056 Enrollment ID: I20071031000550 |
| Provider Name | Manolis S Kyriacou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710193354 PECOS PAC ID: 2365524253 Enrollment ID: I20080131000116 |
| Provider Name | Raied M Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417125519 PECOS PAC ID: 9032282546 Enrollment ID: I20080716000746 |
| Provider Name | Daniel R Smalley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982871265 PECOS PAC ID: 5294808556 Enrollment ID: I20080718000577 |
| Provider Name | Hassan A Bazzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457507006 PECOS PAC ID: 7214002039 Enrollment ID: I20080813000626 |
| Provider Name | Somil A Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326253105 PECOS PAC ID: 1355416124 Enrollment ID: I20080814000137 |
| Provider Name | Mahmud Zamlut |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952579542 PECOS PAC ID: 4688740384 Enrollment ID: I20080903000600 |
| Provider Name | Annette T Carron |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306805866 PECOS PAC ID: 0244306850 Enrollment ID: I20080905000261 |
| Provider Name | Neena Girgla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831367994 PECOS PAC ID: 9830266733 Enrollment ID: I20080918000229 |
| Provider Name | Chethan Kalhalli Rajappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588869069 PECOS PAC ID: 9830266204 Enrollment ID: I20080930000670 |
| Provider Name | Joseph Singerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891917613 PECOS PAC ID: 2668530965 Enrollment ID: I20081015000046 |
| Provider Name | Bakhtiar Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922276849 PECOS PAC ID: 3870653975 Enrollment ID: I20081119000540 |
| Provider Name | Shivani Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154341162 PECOS PAC ID: 6507921616 Enrollment ID: I20090224000228 |
| Provider Name | Veronica M Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316157993 PECOS PAC ID: 1850444514 Enrollment ID: I20090729000269 |
| Provider Name | Amtul H Bandagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134397177 PECOS PAC ID: 3375698160 Enrollment ID: I20090831000347 |
| Provider Name | Ronald Y Barnett |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760492011 PECOS PAC ID: 5496741118 Enrollment ID: I20091120000036 |
| Provider Name | Raad M Ausi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255358123 PECOS PAC ID: 7911048400 Enrollment ID: I20100106000182 |
| Provider Name | Ashley K Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366779639 PECOS PAC ID: 3375686504 Enrollment ID: I20100210000067 |
| Provider Name | Cheri Mys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801998562 PECOS PAC ID: 6103961321 Enrollment ID: I20100226000424 |
| Provider Name | Andrea K Dorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245469592 PECOS PAC ID: 1355486382 Enrollment ID: I20100302000804 |
| Provider Name | Allen G Trager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598779134 PECOS PAC ID: 0840225355 Enrollment ID: I20100813001032 |
| Provider Name | Hima Katkuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659501401 PECOS PAC ID: 1052436904 Enrollment ID: I20100915000519 |
| Provider Name | Elena Jdanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073780292 PECOS PAC ID: 9931393691 Enrollment ID: I20101027000636 |
| Provider Name | Nabeel Shabo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619177011 PECOS PAC ID: 5092900746 Enrollment ID: I20101108001448 |
| Provider Name | Suresha C Bandara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841457454 PECOS PAC ID: 3476749680 Enrollment ID: I20101130001273 |
| Provider Name | Kamal Abu Rashed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184890253 PECOS PAC ID: 5698962611 Enrollment ID: I20101202001292 |
| Provider Name | Myroslav Harhula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326348715 PECOS PAC ID: 5092995050 Enrollment ID: I20110208000450 |
| Provider Name | Hanady Daas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811194830 PECOS PAC ID: 9638354152 Enrollment ID: I20110427000624 |
| Provider Name | Karen A Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821305814 PECOS PAC ID: 5991981763 Enrollment ID: I20110511000456 |
| Provider Name | Seema Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871743237 PECOS PAC ID: 6103002753 Enrollment ID: I20110516000376 |
| Provider Name | Jyothsna Yalavarthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003811662 PECOS PAC ID: 6800989021 Enrollment ID: I20110531000734 |
| Provider Name | Ruth A Chaplen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619096518 PECOS PAC ID: 3072790955 Enrollment ID: I20110601000409 |
| Provider Name | Talisha Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215197082 PECOS PAC ID: 4688852650 Enrollment ID: I20110621000567 |
| Provider Name | Noura F Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942457817 PECOS PAC ID: 3678751682 Enrollment ID: I20110622000288 |
| Provider Name | Mini M Tommy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407149420 PECOS PAC ID: 7214115179 Enrollment ID: I20110623000133 |
| Provider Name | Frank J Yono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104080852 PECOS PAC ID: 2466620265 Enrollment ID: I20110721000801 |
| Provider Name | Elizabeth A Uyematsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790947158 PECOS PAC ID: 9739357310 Enrollment ID: I20110726000683 |
| Provider Name | Qussai Salamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447554654 PECOS PAC ID: 5294904462 Enrollment ID: I20110803000816 |
| Provider Name | Mark H Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356555916 PECOS PAC ID: 4688844889 Enrollment ID: I20110825000604 |
| Provider Name | Mohammed H Elbashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386809994 PECOS PAC ID: 8820268642 Enrollment ID: I20110902000118 |
| Provider Name | Stephanie M Horanic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316230121 PECOS PAC ID: 1052583416 Enrollment ID: I20111006000284 |
| Provider Name | James R Macbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598931982 PECOS PAC ID: 3173780954 Enrollment ID: I20120206000892 |
| Provider Name | Natalia Iosifovna Tetyuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265693980 PECOS PAC ID: 2668659970 Enrollment ID: I20120322000612 |
| Provider Name | Aneela Aman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629231931 PECOS PAC ID: 6305006222 Enrollment ID: I20120329000438 |
| Provider Name | Kathleen M Isley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043597362 PECOS PAC ID: 0345404893 Enrollment ID: I20120612000661 |
| Provider Name | Kathrina Spyridakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396872628 PECOS PAC ID: 9436314457 Enrollment ID: I20120626000010 |
| Provider Name | Sameer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972725083 PECOS PAC ID: 6406921311 Enrollment ID: I20120709000504 |
| Provider Name | Jeremiah J Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255644225 PECOS PAC ID: 1153587084 Enrollment ID: I20120723000276 |
| Provider Name | Alexander Cusmano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164757514 PECOS PAC ID: 2062678618 Enrollment ID: I20120725000844 |
| Provider Name | Crystal Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598044034 PECOS PAC ID: 1052567708 Enrollment ID: I20120810000788 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988416 PECOS PAC ID: 7214185826 Enrollment ID: I20120924000172 |
| Provider Name | Sarah D Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265788749 PECOS PAC ID: 0143479980 Enrollment ID: I20121011000160 |
| Provider Name | David O Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962532465 PECOS PAC ID: 2264686401 Enrollment ID: I20130215000530 |
| Provider Name | Tadesse Beyene |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821239302 PECOS PAC ID: 4688823396 Enrollment ID: I20130219000005 |
| Provider Name | Meryl A Held |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720248321 PECOS PAC ID: 6406028547 Enrollment ID: I20130221000067 |
| Provider Name | Andrew Jablonowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954770 PECOS PAC ID: 0345485264 Enrollment ID: I20130326000204 |
| Provider Name | Elizabeth Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184852204 PECOS PAC ID: 7214177815 Enrollment ID: I20130702000466 |
| Provider Name | Rizwan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376876102 PECOS PAC ID: 8527201607 Enrollment ID: I20130821000957 |
| Provider Name | Shaheena Z Raheem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023265014 PECOS PAC ID: 5395988281 Enrollment ID: I20130824000123 |
| Provider Name | Christina L Blevins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104146471 PECOS PAC ID: 9830323344 Enrollment ID: I20131015002042 |
| Provider Name | Kenni Jae Allen El-amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952532749 PECOS PAC ID: 4082849849 Enrollment ID: I20131101001009 |
| Provider Name | Molly Veale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992025811 PECOS PAC ID: 7416182068 Enrollment ID: I20131106001962 |
| Provider Name | Aalok Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457664864 PECOS PAC ID: 0941435515 Enrollment ID: I20131107000366 |
| Provider Name | Sherry L Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154671527 PECOS PAC ID: 0244466779 Enrollment ID: I20131111001707 |
| Provider Name | Cassie Konja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629204797 PECOS PAC ID: 8729216163 Enrollment ID: I20140110001376 |
| Provider Name | Mohamed Mohamedali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902053234 PECOS PAC ID: 2769653849 Enrollment ID: I20140221000762 |
| Provider Name | Deepti Vidhyesh Kamat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013142827 PECOS PAC ID: 4789814583 Enrollment ID: I20140221001693 |
| Provider Name | Uzoamaka Akudo Eke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376799882 PECOS PAC ID: 5193975852 Enrollment ID: I20140326001052 |
| Provider Name | Syed Mehdi Jafri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649558230 PECOS PAC ID: 9436382108 Enrollment ID: I20140502001648 |
| Provider Name | Harjeet Singh Jhajj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548557440 PECOS PAC ID: 5799908851 Enrollment ID: I20140519001908 |
| Provider Name | Carmelite Dalmacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447660659 PECOS PAC ID: 9830312396 Enrollment ID: I20140602001210 |
| Provider Name | Syed M Raza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578737219 PECOS PAC ID: 3577788199 Enrollment ID: I20140715001258 |
| Provider Name | Revark D Kammo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326335241 PECOS PAC ID: 1456577428 Enrollment ID: I20140728001952 |
| Provider Name | Tiffanie Lynn Maxwell Covieo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902192131 PECOS PAC ID: 4284852690 Enrollment ID: I20140827000798 |
| Provider Name | Abi Waqas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988168 PECOS PAC ID: 5597935221 Enrollment ID: I20140828001609 |
| Provider Name | Eliza Panczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861699761 PECOS PAC ID: 9537283486 Enrollment ID: I20150112000771 |
| Provider Name | Paula Marie Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911846 PECOS PAC ID: 8628392214 Enrollment ID: I20150202000276 |
| Provider Name | Sheeba John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720482839 PECOS PAC ID: 9638494248 Enrollment ID: I20150202001010 |
| Provider Name | Sithara Jaison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982094074 PECOS PAC ID: 7113244336 Enrollment ID: I20150327001967 |
| Provider Name | Nicka Khalilova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598102204 PECOS PAC ID: 2860626348 Enrollment ID: I20150508000289 |
| Provider Name | Mazen Alsaqa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982968244 PECOS PAC ID: 0446571970 Enrollment ID: I20150609000672 |
| Provider Name | Brandon Osmanski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720347339 PECOS PAC ID: 9335450527 Enrollment ID: I20150615000785 |
| Provider Name | Brittany A Derra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033473632 PECOS PAC ID: 1254650948 Enrollment ID: I20150619001365 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20150622002033 |
| Provider Name | Ali Hazimeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437413721 PECOS PAC ID: 3375854052 Enrollment ID: I20150622002162 |
| Provider Name | Neetu Pal Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124349378 PECOS PAC ID: 4587853916 Enrollment ID: I20150629001515 |
| Provider Name | Roselyne A Ogola-mwangale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821477258 PECOS PAC ID: 7214242940 Enrollment ID: I20150810002990 |
| Provider Name | Redwan Asbahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445503 PECOS PAC ID: 5395050199 Enrollment ID: I20150821013669 |
| Provider Name | Karen Zakharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942575725 PECOS PAC ID: 2860632940 Enrollment ID: I20150916000294 |
| Provider Name | Harmony L Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053728923 PECOS PAC ID: 2062729361 Enrollment ID: I20150918002278 |
| Provider Name | Alleda Mack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487910030 PECOS PAC ID: 0244530418 Enrollment ID: I20151120000694 |
| Provider Name | Anna Justes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508237280 PECOS PAC ID: 9931402773 Enrollment ID: I20160128000520 |
| Provider Name | Crystal Renee Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689809345 PECOS PAC ID: 0345496857 Enrollment ID: I20160210001401 |
| Provider Name | Michael A Samluk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386089472 PECOS PAC ID: 6709199011 Enrollment ID: I20160222001371 |
| Provider Name | Marlyce Serges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192953 PECOS PAC ID: 1658678032 Enrollment ID: I20160330000957 |
| Provider Name | Syed S Qadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619233749 PECOS PAC ID: 1355648692 Enrollment ID: I20160331000390 |
| Provider Name | Stacy Meitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205297876 PECOS PAC ID: 0547567802 Enrollment ID: I20160331001023 |
| Provider Name | Haamid Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720368186 PECOS PAC ID: 0547493835 Enrollment ID: I20160610000846 |
| Provider Name | Christopher Joseph Bradley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1659636140 PECOS PAC ID: 3072832633 Enrollment ID: I20160617000591 |
| Provider Name | Andrew Kin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1407112162 PECOS PAC ID: 9830330471 Enrollment ID: I20160620001142 |
| Provider Name | Robert Dukjun Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699035717 PECOS PAC ID: 2466757794 Enrollment ID: I20160621001923 |
| Provider Name | Paula F Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669844254 PECOS PAC ID: 2365733045 Enrollment ID: I20160628001324 |
| Provider Name | Umayr Ahmad Azimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083054902 PECOS PAC ID: 1153550215 Enrollment ID: I20160715000914 |
| Provider Name | Firas M Mohammad Riyazuddin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275820300 PECOS PAC ID: 1355634569 Enrollment ID: I20160726002048 |
| Provider Name | Chunbo Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295023539 PECOS PAC ID: 8123336187 Enrollment ID: I20160819000852 |
| Provider Name | Katherine Mary Crampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285181065 PECOS PAC ID: 2264720481 Enrollment ID: I20161004001754 |
| Provider Name | Zeinab M Tamam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407142979 PECOS PAC ID: 2961704770 Enrollment ID: I20161017000273 |
| Provider Name | Nagaratna Sarvadevabatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437592425 PECOS PAC ID: 7911295274 Enrollment ID: I20161019002122 |
| Provider Name | Jenelle Hao-galera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043552649 PECOS PAC ID: 1759603822 Enrollment ID: I20161024000295 |
| Provider Name | Dorothy C Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316278765 PECOS PAC ID: 4385737972 Enrollment ID: I20161024001060 |
| Provider Name | Nitin P Dhiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992012637 PECOS PAC ID: 9537344213 Enrollment ID: I20161202001190 |
| Provider Name | Annette M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043753254 PECOS PAC ID: 2466732433 Enrollment ID: I20161208001093 |
| Provider Name | Meghan Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720423189 PECOS PAC ID: 8325325939 Enrollment ID: I20170509001959 |
| Provider Name | Deborah Lynn Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487192399 PECOS PAC ID: 6901174135 Enrollment ID: I20170613000284 |
| Provider Name | Jennifer G Emmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932549086 PECOS PAC ID: 1153640859 Enrollment ID: I20170613001968 |
| Provider Name | Jay Mohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366882656 PECOS PAC ID: 2567755267 Enrollment ID: I20170613002619 |
| Provider Name | Jon W Mackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043621451 PECOS PAC ID: 6901109438 Enrollment ID: I20170706002135 |
| Provider Name | Yared Medhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563770 PECOS PAC ID: 9133367261 Enrollment ID: I20170720003020 |
| Provider Name | Jill A Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952858334 PECOS PAC ID: 1658641634 Enrollment ID: I20170725000125 |
| Provider Name | Arian John Moshref |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023459682 PECOS PAC ID: 5496980492 Enrollment ID: I20170731000059 |
| Provider Name | Amine Pierre Amine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861812828 PECOS PAC ID: 6305118175 Enrollment ID: I20170815001598 |
| Provider Name | Kiyan Rad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649690769 PECOS PAC ID: 0143592881 Enrollment ID: I20170816000672 |
| Provider Name | Marwah Mazin Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548657729 PECOS PAC ID: 3870896954 Enrollment ID: I20170816000746 |
| Provider Name | Gene T Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467659771 PECOS PAC ID: 9234328691 Enrollment ID: I20170927003575 |
| Provider Name | Zaher Hakim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306191853 PECOS PAC ID: 8325349012 Enrollment ID: I20171002001677 |
| Provider Name | Hillel Zvi Sternlicht |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861789125 PECOS PAC ID: 2264680495 Enrollment ID: I20171024001713 |
| Provider Name | Eyas Kanaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770992976 PECOS PAC ID: 6406112374 Enrollment ID: I20171108003484 |
| Provider Name | Jamie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692932 PECOS PAC ID: 6507151537 Enrollment ID: I20171207000762 |
| Provider Name | Mark Anthony Raphael |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922428382 PECOS PAC ID: 4981997939 Enrollment ID: I20180213001304 |
| Provider Name | Shaiquel A Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306139035 PECOS PAC ID: 1850513730 Enrollment ID: I20180216001371 |
| Provider Name | Mohamed Rezik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467792143 PECOS PAC ID: 8123259306 Enrollment ID: I20180306001575 |
| Provider Name | Ericka Ann Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780066795 PECOS PAC ID: 1759694698 Enrollment ID: I20180510002450 |
| Provider Name | Victor M Hunyadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275915092 PECOS PAC ID: 3779898473 Enrollment ID: I20180521000987 |
| Provider Name | Amanda Chivu Brannick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467847673 PECOS PAC ID: 4082910401 Enrollment ID: I20180619001299 |
| Provider Name | Anjali M Makhijani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844371 PECOS PAC ID: 9032423348 Enrollment ID: I20180622000202 |
| Provider Name | Kristoffer A Seelbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336432012 PECOS PAC ID: 8820217094 Enrollment ID: I20181030003241 |
| Provider Name | Georgette M Cooke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225417850 PECOS PAC ID: 9436403706 Enrollment ID: I20181127000320 |
| Provider Name | Christina Ariana Herrild |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295141075 PECOS PAC ID: 2961721659 Enrollment ID: I20181204003628 |
| Provider Name | Sarah Naji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013471275 PECOS PAC ID: 2163755489 Enrollment ID: I20190531000454 |
| Provider Name | Yu Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396193090 PECOS PAC ID: 8224328018 Enrollment ID: I20190612000685 |
| Provider Name | Varun Sai Yelamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396165080 PECOS PAC ID: 4688965866 Enrollment ID: I20190613003324 |
| Provider Name | Jennifer Marie Rathousky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265881528 PECOS PAC ID: 3274823786 Enrollment ID: I20190927000370 |
| Provider Name | Mahir Mumtaz Sati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275947848 PECOS PAC ID: 5193010791 Enrollment ID: I20191210002114 |
| Provider Name | Sukhvir K Locham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497398960 PECOS PAC ID: 3870928138 Enrollment ID: I20200114001693 |
| Provider Name | Afrah Samreen Lnu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245780758 PECOS PAC ID: 2466889167 Enrollment ID: I20200218002588 |
| Provider Name | Aman Mongia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235101072 PECOS PAC ID: 6507803392 Enrollment ID: I20200622001698 |
| Provider Name | Fatima Younus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962922013 PECOS PAC ID: 3072936020 Enrollment ID: I20200708003772 |
| Provider Name | Mohamed Zghouzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275897993 PECOS PAC ID: 6305153818 Enrollment ID: I20200723003770 |
| Provider Name | Shahroz Adil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093209611 PECOS PAC ID: 6002164365 Enrollment ID: I20210630003572 |
| Provider Name | Nabeel Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104273879 PECOS PAC ID: 3870885759 Enrollment ID: I20210907000482 |
| Provider Name | Omar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558481333 PECOS PAC ID: 5193850592 Enrollment ID: I20210929003062 |
| Provider Name | Ghadhanfer Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083277479 PECOS PAC ID: 6901139658 Enrollment ID: I20220330002692 |
| Provider Name | Tomoyasu Higashimoto |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1902219165 PECOS PAC ID: 2860747607 Enrollment ID: I20220624001868 |
| Provider Name | Zaynab Al Sagri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770146292 PECOS PAC ID: 4587997028 Enrollment ID: I20220923001491 |
| Provider Name | Annie Burcheci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396303780 PECOS PAC ID: 6002287935 Enrollment ID: I20230131003340 |
| Provider Name | Maria Ashley Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558022335 PECOS PAC ID: 0345605952 Enrollment ID: I20230504001424 |
| Provider Name | Alyssa Masterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699344507 PECOS PAC ID: 2860866142 Enrollment ID: I20230606001020 |
| Provider Name | Amanda C Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659088961 PECOS PAC ID: 4789043191 Enrollment ID: I20230703002099 |
Premier Urgent Care Of Livonia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18320 Farmington Rd, Livonia, MI 48152 Phone: 248-476-9200 | |
Spassova Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18770 Farmington Rd, Suite 100, Livonia, MI 48152 Phone: 734-284-6338 Fax: 734-293-0985 | |
Primary Care Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20276 Middlebelt, Suite 7, Livonia, MI 48152 Phone: 248-477-8000 Fax: 248-477-8300 | |
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 | |
Ban Mechael, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19930 Farmington Rd, Suite A, Livonia, MI 48152 Phone: 248-476-6209 Fax: 248-476-6237 | |
Digestive Disease Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18320 Farmington Rd, Livonia, MI 48152 Phone: 248-476-6100 Fax: 248-471-6452 | |
Mohammed A Khaleel Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20000 Farmington Rd Bldg E, Livonia, MI 48152 Phone: 248-474-1144 Fax: 248-474-1548 |