K Kapordelis Md Pllc | |
21421 Kelly Rd Eastpointe MI 48021-3215 | |
(586) 779-9899 | |
(586) 773-7800 |
Full Name | K Kapordelis Md Pllc |
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Speciality | Internal Medicine |
Location | 21421 Kelly Rd, Eastpointe, Michigan |
Authorized Official Name and Position | Marilyn Vessella (MA) |
Authorized Official Contact | 5867799899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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K Kapordelis Md Pllc 21421 Kelly Rd Eastpointe MI 48021-3215 Ph: (586) 779-9899 | K Kapordelis Md Pllc 21421 Kelly Rd Eastpointe MI 48021-3215 Ph: (586) 779-9899 |
NPI Number | 1154512804 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154512804 | NPI | - | NPPES |
4690260 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 041225 (Michigan) | Primary |
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