| Junction Clinic Health Center Pllc | |
|
4771 Michigan Ave Detroit MI 48210-3247 | |
| (313) 897-2600 | |
| (313) 897-2424 |
| Full Name | Junction Clinic Health Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4771 Michigan Ave, Detroit, Michigan |
| Authorized Official Name and Position | Viswanathan Venkataswamy (MEMBER) |
| Authorized Official Contact | 7342740847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Junction Clinic Health Center Pllc 4771 Michigan Ave Detroit MI 48210-3247 Ph: () - | Junction Clinic Health Center Pllc 4771 Michigan Ave Detroit MI 48210-3247 Ph: (313) 897-2600 |
| NPI Number | 1720700602 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 4486022290 |
|---|---|
| Medicare Enrollment ID | O20221129002965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720700602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ratnavalli V Pasupulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831394873 PECOS PAC ID: 3274624283 Enrollment ID: I20070806000523 |
| Provider Name | Sailaja Peddireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225215569 PECOS PAC ID: 3870643828 Enrollment ID: I20090612000100 |
| Provider Name | Tony Abood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194165829 PECOS PAC ID: 9931429206 Enrollment ID: I20150528000582 |
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