| Khalid Rao Md Pc | |
|
43488 Castlewood Novi MI 48375-4002 | |
| (734) 462-0340 | |
| (734) 462-0344 |
| Full Name | Khalid Rao Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 43488 Castlewood, Novi, Michigan |
| Authorized Official Name and Position | Khalid A Rao (PRESIDENT/OWNER) |
| Authorized Official Contact | 2484444757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khalid Rao Md Pc 43488 Castlewood Novi MI 48375-4002 Ph: (734) 462-0340 | Khalid Rao Md Pc 43488 Castlewood Novi MI 48375-4002 Ph: (734) 462-0340 |
| NPI Number | 1538337928 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 02/19/2008 |
| Medicare PECOS PAC ID | 8123104866 |
|---|---|
| Medicare Enrollment ID | O20080321000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538337928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301060300 (Michigan) | Primary |
| Provider Name | Michelle M Trudeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641441 PECOS PAC ID: 7315935483 Enrollment ID: I20040505001539 |
| Provider Name | Khalid A Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366421273 PECOS PAC ID: 0840279105 Enrollment ID: I20040719001388 |
| Provider Name | Heather Ainsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568833697 PECOS PAC ID: 9335459155 Enrollment ID: I20151106002184 |
| Provider Name | Deniene D King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093107948 PECOS PAC ID: 1153631692 Enrollment ID: I20151112001155 |
| Provider Name | Shafiq Rehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720447477 PECOS PAC ID: 5294026415 Enrollment ID: I20160620000589 |
| Provider Name | Laurie-ann Cadene Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578055349 PECOS PAC ID: 6608129028 Enrollment ID: I20181031002052 |
| Provider Name | Sharon Hurtado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063157022 PECOS PAC ID: 5799162889 Enrollment ID: I20220511000128 |
| Provider Name | Laura Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144903964 PECOS PAC ID: 9234591835 Enrollment ID: I20230814003883 |
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