| Mongkol Mong, M.d.p.c. | |
|
15332 Fort St Southgate MI 48195-1304 | |
| (734) 285-2255 | |
| (734) 285-9044 |
| Full Name | Mongkol Mong, M.d.p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15332 Fort St, Southgate, Michigan |
| Authorized Official Name and Position | Mongkol Mongkolpradit (PRESIDENT) |
| Authorized Official Contact | 7342852255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mongkol Mong, M.d.p.c. 15332 Fort St Southgate MI 48195-1304 Ph: (734) 285-2255 | Mongkol Mong, M.d.p.c. 15332 Fort St Southgate MI 48195-1304 Ph: (734) 285-2255 |
| NPI Number | 1316079452 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316079452 | NPI | - | NPPES |
| 1421722 | Medicaid | MI | |
| 0828033 | Other | MI | BLUE CROSS BLUE SHIELD |
| MM032063 | Other | MI | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MM032063 (Michigan) | Primary |
A.m. Mussani, Md., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12815 Northline Rd, Southgate, MI 48195 Phone: 734-284-2090 Fax: 734-284-9666 | |
Yassir Attalla Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15450 Northline Rd Ste 102, Southgate, MI 48195 Phone: 734-282-2020 Fax: 734-282-2002 | |
Uzma Zafar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Heritage Dr Ste 1, Southgate, MI 48195 Phone: 734-283-3222 | |
Accolade Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12866 Fort St, Southgate, MI 48195 Phone: 734-720-7920 | |
Southfort Family Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13650 Fort St, Southgate, MI 48195 Phone: 734-281-2150 | |
Bedside Specialists Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12100 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-282-5502 | |
Megha Mohey Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14752 Northline Rd, Southgate, MI 48195 Phone: 734-785-6003 Fax: 734-985-2333 |