| Michigan Medical Specialists Pc | |
|
400 Renaissance Ctr Ste 2600 Detroit MI 48243-1502 | |
| (800) 557-8950 | |
| Not Available |
| Full Name | Michigan Medical Specialists Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Renaissance Ctr Ste 2600, Detroit, Michigan |
| Authorized Official Name and Position | Hirenkumar Italia (MD) |
| Authorized Official Contact | 8005578950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Medical Specialists Pc 133 Rollins Ave Ste 3 Rockville MD 20852-4040 Ph: () - | Michigan Medical Specialists Pc 400 Renaissance Ctr Ste 2600 Detroit MI 48243-1502 Ph: (800) 557-8950 |
| NPI Number | 1508535824 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 0345648879 |
|---|---|
| Medicare Enrollment ID | O20211013001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508535824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Florence E Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649289083 PECOS PAC ID: 5193704450 Enrollment ID: I20040719001397 |
| Provider Name | Almeta M Andary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987188 PECOS PAC ID: 6204066343 Enrollment ID: I20140311000980 |
| Provider Name | Nichol L Tufts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144579798 PECOS PAC ID: 7719204122 Enrollment ID: I20150324001526 |
| Provider Name | Eun Ju Yeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891032009 PECOS PAC ID: 0941442610 Enrollment ID: I20160603001241 |
| Provider Name | Sharon F Handelsman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285863704 PECOS PAC ID: 6507919529 Enrollment ID: I20170216002815 |
| Provider Name | Erinma Ezeugwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245775683 PECOS PAC ID: 5395017222 Enrollment ID: I20170828000849 |
| Provider Name | Mina I Elnemr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760702302 PECOS PAC ID: 2062654460 Enrollment ID: I20181128000240 |
| Provider Name | Latanya Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396140372 PECOS PAC ID: 0143564658 Enrollment ID: I20181210001575 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20201228002226 |
| Provider Name | Karissa Rentfrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750960126 PECOS PAC ID: 0749670859 Enrollment ID: I20211203002211 |
| Provider Name | Amie Sankareh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659992519 PECOS PAC ID: 2769873140 Enrollment ID: I20211217002132 |
| Provider Name | Jill Beavers Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760510481 PECOS PAC ID: 3577694462 Enrollment ID: I20220314001137 |
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