| My Health Clinic Corp | |
|
7235 W Appleton Ave Milwaukee WI 53216-1932 | |
| (414) 800-9924 | |
| Not Available |
| Full Name | My Health Clinic Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 7235 W Appleton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Aaila Elahi (ADMINISTRATOR) |
| Authorized Official Contact | 4142481238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Health Clinic Corp S76w20310 Hillendale Dr Muskego WI 53150-9526 Ph: (414) 248-1238 | My Health Clinic Corp 7235 W Appleton Ave Milwaukee WI 53216-1932 Ph: (414) 800-9924 |
| NPI Number | 1346882693 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 6608108261 |
|---|---|
| Medicare Enrollment ID | O20191031000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346882693 | NPI | - | NPPES |
| 1023562758 | Medicaid | WI | |
| 1457666315 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Adnan Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750361267 PECOS PAC ID: 5890742381 Enrollment ID: I20050406001024 |
| Provider Name | Anatoliy Velikodanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740423441 PECOS PAC ID: 0042362584 Enrollment ID: I20090715000155 |
| Provider Name | Jenta O Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023562758 PECOS PAC ID: 5890081715 Enrollment ID: I20160901000687 |
| Provider Name | Chinwe D Opara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285958249 PECOS PAC ID: 9133456866 Enrollment ID: I20190802003060 |
| Provider Name | Mijo Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851000616 PECOS PAC ID: 2163892415 Enrollment ID: I20221230001083 |
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