Nizaamuddeen Toofanny Md Pllc | |
1380 Coolidge Hwy Suite 100 Troy MI 48084-7069 | |
(248) 288-4000 | |
(248) 288-3900 |
Full Name | Nizaamuddeen Toofanny Md Pllc |
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Speciality | Family Medicine |
Location | 1380 Coolidge Hwy, Troy, Michigan |
Authorized Official Name and Position | Nizaamuddeen Toofanny (OWNER) |
Authorized Official Contact | 2485452131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nizaamuddeen Toofanny Md Pllc 1380 Coolidge Hwy Suite 100 Troy MI 48084-7069 Ph: (248) 288-4000 | Nizaamuddeen Toofanny Md Pllc 1380 Coolidge Hwy Suite 100 Troy MI 48084-7069 Ph: (248) 288-4000 |
NPI Number | 1245482462 |
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Provider Enumeration Date | 10/21/2008 |
Last Update Date | 10/21/2008 |
Medicare PECOS PAC ID | 2163586645 |
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Medicare Enrollment ID | O20090128000183 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245482462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nizaamudeen Toofanny |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891755997 PECOS PAC ID: 4981768462 Enrollment ID: I20090128000175 |
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