| Norman J Kakos Md Pc | |
|
32121 Woodward Ave Suite 204 Royal Oak MI 48073-6237 | |
| (248) 399-5492 | |
| (248) 399-5792 |
| Full Name | Norman J Kakos Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 32121 Woodward Ave, Royal Oak, Michigan |
| Authorized Official Name and Position | Norman Johnny Kakos (OWNER PHYSICIAN) |
| Authorized Official Contact | 2483995492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman J Kakos Md Pc 32121 Woodward Ave Suite 204 Royal Oak MI 48073-6237 Ph: (248) 399-5492 | Norman J Kakos Md Pc 32121 Woodward Ave Suite 204 Royal Oak MI 48073-6237 Ph: (248) 399-5492 |
| NPI Number | 1609944487 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/14/2015 |
| Medicare PECOS PAC ID | 7517959745 |
|---|---|
| Medicare Enrollment ID | O20070104000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609944487 | NPI | - | NPPES |
| 110F338430 | Other | MI | BCBS GROUP |
| 1106334721 | Other | MI | BCBS BCN |
| 4422877 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301068130 (Michigan) | Primary |
| Provider Name | Norman J Kakos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477621241 PECOS PAC ID: 1759373947 Enrollment ID: I20040330001248 |
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