Mohamed Ally Health Plaza Pllc | |
387 N State Rd Ste A Otisville MI 48463-9503 | |
(810) 631-4060 | |
Not Available |
Full Name | Mohamed Ally Health Plaza Pllc |
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Speciality | Internal Medicine |
Location | 387 N State Rd, Otisville, Michigan |
Authorized Official Name and Position | Naveed Mahfooz (OWNER) |
Authorized Official Contact | 8106314060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mohamed Ally Health Plaza Pllc 3061 Christy Way Saginaw MI 48603-2224 Ph: (989) 791-2455 | Mohamed Ally Health Plaza Pllc 387 N State Rd Ste A Otisville MI 48463-9503 Ph: (810) 631-4060 |
NPI Number | 1891103784 |
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Provider Enumeration Date | 07/24/2014 |
Last Update Date | 07/24/2014 |
Medicare PECOS PAC ID | 1052538006 |
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Medicare Enrollment ID | O20140814001697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891103784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | NMO59644 (Michigan) | Primary |
Provider Name | Naveed Mahfooz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780639450 PECOS PAC ID: 9830158609 Enrollment ID: I20050606000749 |
Provider Name | Imran Mir |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467628388 PECOS PAC ID: 3072688688 Enrollment ID: I20080815000684 |
Provider Name | Ameed Abdulrazzak |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902069016 PECOS PAC ID: 5698943132 Enrollment ID: I20110727000533 |
Provider Name | Hilda Mbidzo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174968531 PECOS PAC ID: 2264673565 Enrollment ID: I20130730000248 |
Provider Name | Heidi R Rethman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861839649 PECOS PAC ID: 6800028994 Enrollment ID: I20140403000885 |
Provider Name | Theresa I Jensen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639569916 PECOS PAC ID: 5496075939 Enrollment ID: I20150522001359 |
Provider Name | Steven A Holman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851718399 PECOS PAC ID: 0345540134 Enrollment ID: I20151201000656 |
Provider Name | Jonathan W Hollis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205298262 PECOS PAC ID: 7719285378 Enrollment ID: I20160414000968 |
Provider Name | Diane Palm |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376079426 PECOS PAC ID: 9234496977 Enrollment ID: I20171205001034 |
Provider Name | Krista Marie Heckert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306333927 PECOS PAC ID: 4385908276 Enrollment ID: I20180430002657 |
Provider Name | Lori Jane Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760946495 PECOS PAC ID: 6507104320 Enrollment ID: I20190220001731 |
Provider Name | Rabeea Mirza |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1679993216 PECOS PAC ID: 3577866649 Enrollment ID: I20190531000026 |
Provider Name | Rachel Lynn Curtis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639636996 PECOS PAC ID: 7315273380 Enrollment ID: I20190729002891 |
Provider Name | Ashley R Tolliver |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578348322 PECOS PAC ID: 8820444185 Enrollment ID: I20231024001400 |
Provider Name | Zahid Mahmood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740805464 PECOS PAC ID: 3072950286 Enrollment ID: I20240325000242 |
George Mohamedally Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 North State, Otisville, MI 48463 Phone: 810-631-4060 Fax: 810-631-4101 |