| Novalife Medical Pllc | |
|
1148 Longspur Blvd Lake Orion MI 48360-2542 | |
| (586) 530-8356 | |
| Not Available |
| Full Name | Novalife Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1148 Longspur Blvd, Lake Orion, Michigan |
| Authorized Official Name and Position | Aalok Dave (PROVIDER) |
| Authorized Official Contact | 5865308356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novalife Medical Pllc Po Box 7320 Bloomfield Hills MI 48302-7320 Ph: (586) 530-8356 | Novalife Medical Pllc 1148 Longspur Blvd Lake Orion MI 48360-2542 Ph: (586) 530-8356 |
| NPI Number | 1235994443 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 3173968567 |
|---|---|
| Medicare Enrollment ID | O20240226000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235994443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aalok Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457664864 PECOS PAC ID: 0941435515 Enrollment ID: I20131107000366 |
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