| Macomb Physicians Group, Pllc | |
|
8244 Metropolitan Pkwy Suite C Sterling Heights MI 48312-2778 | |
| (586) 795-4060 | |
| (586) 795-5595 |
| Full Name | Macomb Physicians Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8244 Metropolitan Pkwy, Sterling Heights, Michigan |
| Authorized Official Name and Position | Jennifer Murray (PRACTICE MANAGER) |
| Authorized Official Contact | 5867954060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Physicians Group, Pllc 8244 Metropolitan Pkwy Suite C Sterling Heights MI 48312-2778 Ph: (586) 795-4060 | Macomb Physicians Group, Pllc 8244 Metropolitan Pkwy Suite C Sterling Heights MI 48312-2778 Ph: (586) 795-4060 |
| NPI Number | 1255388898 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 07/25/2013 |
| Medicare PECOS PAC ID | 2365355625 |
|---|---|
| Medicare Enrollment ID | O20031112000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255388898 | NPI | - | NPPES |
| 700E014490 | Other | MI | BLUE CROSS |
| Provider Name | Sarabjit S Neelam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962492702 PECOS PAC ID: 9436062718 Enrollment ID: I20031113000321 |
| Provider Name | Steven M Hudock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033109749 PECOS PAC ID: 7810800190 Enrollment ID: I20031118001032 |
| Provider Name | Gordhan G Diora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902896731 PECOS PAC ID: 9830002112 Enrollment ID: I20031119000316 |
| Provider Name | Lalitha Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356569644 PECOS PAC ID: 1254328743 Enrollment ID: I20040427001213 |
| Provider Name | Bakulkumar M Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093727869 PECOS PAC ID: 0840265757 Enrollment ID: I20040901001238 |
| Provider Name | Srinivas Koneru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477599587 PECOS PAC ID: 9335108802 Enrollment ID: I20041008001147 |
| Provider Name | Amita Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568446557 PECOS PAC ID: 2264490721 Enrollment ID: I20041230000034 |
| Provider Name | Faten S Ayyoub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881650760 PECOS PAC ID: 3476595711 Enrollment ID: I20050526000070 |
| Provider Name | Ashwini M Shadakshari |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669620233 PECOS PAC ID: 8820279557 Enrollment ID: I20110228000841 |
| Provider Name | Mark H Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356555916 PECOS PAC ID: 4688844889 Enrollment ID: I20110825000604 |
| Provider Name | Silvana D Matte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164657557 PECOS PAC ID: 4082878178 Enrollment ID: I20120621000638 |
| Provider Name | Ariane B Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255976288 PECOS PAC ID: 5890116230 Enrollment ID: I20200610002649 |
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