| Lana Kawa Md Pc | |
|
44201 Dequindre Rd Troy MI 48085-1117 | |
| (248) 828-5100 | |
| Not Available |
| Full Name | Lana Kawa Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Authorized Official Name and Position | Lana Kawa (OWNER/MD) |
| Authorized Official Contact | 2482292996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Kawa Md Pc 4965 Adams Pointe Ct Troy MI 48098-4111 Ph: (586) 979-5100 | Lana Kawa Md Pc 44201 Dequindre Rd Troy MI 48085-1117 Ph: (248) 828-5100 |
| NPI Number | 1922236918 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 0244383818 |
|---|---|
| Medicare Enrollment ID | O20090729000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922236918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301081236 (Michigan) | Primary |
| Provider Name | Lana Kawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073697199 PECOS PAC ID: 0840297768 Enrollment ID: I20061106000556 |
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