Madison Internists P C | |
27483 Dequindre Rd Suite 202 Madison Hts MI 48071-3491 | |
(248) 542-2229 | |
(248) 542-2226 |
Full Name | Madison Internists P C |
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Speciality | Clinic/center - Primary Care |
Location | 27483 Dequindre Rd, Madison Hts, Michigan |
Authorized Official Name and Position | Shakeela Shakoor (OWNER) |
Authorized Official Contact | 2487979063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Madison Internists P C 3120 Carpenter St Suite 209 Hamtramck MI 48212-9802 Ph: (313) 891-5437 | Madison Internists P C 27483 Dequindre Rd Suite 202 Madison Hts MI 48071-3491 Ph: (248) 542-2229 |
NPI Number | 1962699843 |
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Provider Enumeration Date | 09/25/2007 |
Last Update Date | 09/25/2007 |
Identifier | Type | State | Issuer |
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1962699843 | NPI | - | NPPES |
4998578 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 4301078037 (Michigan) | Primary |