| Muksi, Llc | |
|
26411 Southfield Rd Lathrup Village MI 48076-4528 | |
| (248) 552-8195 | |
| (248) 552-8537 |
| Full Name | Muksi, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 26411 Southfield Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Munzer Samad (SOLE MEMBER) |
| Authorized Official Contact | 2489357976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muksi, Llc 3404 Warwick Dr Rochester Hills MI 48309-4707 Ph: (734) 462-0340 | Muksi, Llc 26411 Southfield Rd Lathrup Village MI 48076-4528 Ph: (248) 552-8195 |
| NPI Number | 1003084492 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 3072692946 |
|---|---|
| Medicare Enrollment ID | O20080502000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003084492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301061568 (Michigan) | Primary |
| Provider Name | Munzer Samad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972581908 PECOS PAC ID: 9739168006 Enrollment ID: I20040719001478 |
| Provider Name | Jennifer M Legge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801101159 PECOS PAC ID: 5597947721 Enrollment ID: I20110309000927 |
| Provider Name | Victoria D Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417361502 PECOS PAC ID: 4688891450 Enrollment ID: I20140821000718 |
| Provider Name | Zohra J Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609043421 PECOS PAC ID: 6901115500 Enrollment ID: I20151022000385 |
| Provider Name | Deniene D King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093107948 PECOS PAC ID: 1153631692 Enrollment ID: I20151112001155 |
| Provider Name | Kimberly Nicole Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255858833 PECOS PAC ID: 8921366469 Enrollment ID: I20171211001730 |
| Provider Name | Tonya Lee Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376050096 PECOS PAC ID: 7618231689 Enrollment ID: I20180430001042 |
| Provider Name | Stacey Van Dike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437670262 PECOS PAC ID: 5092051599 Enrollment ID: I20190103001835 |
| Provider Name | Madonna Roby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184197246 PECOS PAC ID: 9234470931 Enrollment ID: I20190405002191 |
Raveend Thabolingam Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18161 W 12 Mile Rd, Suite 2, Lathrup Village, MI 48076 Phone: 248-552-1200 Fax: 248-552-1201 | |
Riyadh P. Kasmikha, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28500 Southfield Rd, Suite 200, Lathrup Village, MI 48076 Phone: 248-440-2185 Fax: 248-440-2189 | |
Dr Anderson And Associates P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26237 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-395-6201 | |
Maximum Rehabilitation & Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18211 W 12 Mile Rd Ste 2w, Lathrup Village, MI 48076 Phone: 248-629-0904 Fax: 248-629-4010 | |
Harris House Calls M.d., Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18849 Middlesex Ave, Lathrup Village, MI 48076 Phone: 248-310-1175 | |
Southeast Michigan Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18451 W 12 Mile Rd, Ste 200, Lathrup Village, MI 48076 Phone: 248-827-7612 Fax: 248-827-7615 |