| Michigan Medical Group Pc | |
|
25404 Goddard Rd Taylor MI 48180-6200 | |
| (313) 292-0140 | |
| (313) 292-3542 |
| Full Name | Michigan Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25404 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Najam Syed (MEDICAL DOCTOR) |
| Authorized Official Contact | 3132920140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Medical Group Pc 25404 Goddard Rd Taylor MI 48180-6200 Ph: (313) 292-0140 | Michigan Medical Group Pc 25404 Goddard Rd Taylor MI 48180-6200 Ph: (313) 292-0140 |
| NPI Number | 1386660983 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/01/2015 |
| Medicare PECOS PAC ID | 2769499870 |
|---|---|
| Medicare Enrollment ID | O20060315000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386660983 | NPI | - | NPPES |
| 0P29180 | Other | MI | MEDICARE |
| 4331496 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sameena M Zahoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649242280 PECOS PAC ID: 1557330974 Enrollment ID: I20041001000111 |
| Provider Name | Najam Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588688717 PECOS PAC ID: 6103833215 Enrollment ID: I20060316000083 |
| Provider Name | Kavitha Bhagavatula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346277647 PECOS PAC ID: 5799788857 Enrollment ID: I20060810000505 |
| Provider Name | Purvi K Dharia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578608063 PECOS PAC ID: 8921105529 Enrollment ID: I20070516000060 |
| Provider Name | Genevieve F Dudas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619237021 PECOS PAC ID: 3274787510 Enrollment ID: I20130213000594 |
| Provider Name | Cathy S Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457723280 PECOS PAC ID: 0749563062 Enrollment ID: I20170213000875 |
| Provider Name | Eman Hazimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811422413 PECOS PAC ID: 1951655323 Enrollment ID: I20181121001879 |
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