| Nu Life Medical | |
|
31333 Southfield Rd Ste 103 Beverly Hills MI 48025-5473 | |
| (248) 952-9190 | |
| (248) 952-9190 |
| Full Name | Nu Life Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 31333 Southfield Rd Ste 103, Beverly Hills, Michigan |
| Authorized Official Name and Position | Steve Z. Kallabat (OWNER/MEDICAL DOCTOR) |
| Authorized Official Contact | 9284457085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nu Life Medical 45445 Mound Rd Ste 105 Shelby Township MI 48317-5178 Ph: (866) 207-5105 | Nu Life Medical 31333 Southfield Rd Ste 103 Beverly Hills MI 48025-5473 Ph: (248) 952-9190 |
| NPI Number | 1699262006 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 4587919055 |
|---|---|
| Medicare Enrollment ID | O20180625002002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699262006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301070138 (Michigan) | Primary |
| Provider Name | Steve Z Kallabat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245291475 PECOS PAC ID: 1153427646 Enrollment ID: I20070430000270 |
| Provider Name | Candace Gumma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326463985 PECOS PAC ID: 3072745165 Enrollment ID: I20140403000911 |
| Provider Name | Wendy L Titsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851714901 PECOS PAC ID: 9931325743 Enrollment ID: I20140730001881 |
| Provider Name | Ashley N Hindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346695376 PECOS PAC ID: 3678852944 Enrollment ID: I20161110000156 |
| Provider Name | Rakel K Sami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174018931 PECOS PAC ID: 1456607548 Enrollment ID: I20180703000511 |
| Provider Name | Alexis O Kashat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972109288 PECOS PAC ID: 5193114080 Enrollment ID: I20211115002512 |
| Provider Name | Shavonne Karam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790357705 PECOS PAC ID: 1850785403 Enrollment ID: I20220225000565 |
| Provider Name | Joey Fattizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033636493 PECOS PAC ID: 2466848494 Enrollment ID: I20220331000385 |
| Provider Name | Brianna D Sikorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386110195 PECOS PAC ID: 1658615315 Enrollment ID: I20220727001122 |
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