| Pankaj Vakharia Md Pllc | |
|
15224 Apollo Drive Holly MI 48442-1166 | |
| (248) 328-4000 | |
| (248) 328-1304 |
| Full Name | Pankaj Vakharia Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15224 Apollo Drive, Holly, Michigan |
| Authorized Official Name and Position | Pankaj N. Vakharia (OWNER / PRESIDENT) |
| Authorized Official Contact | 2483284000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pankaj Vakharia Md Pllc 3547 Inverness Drive Rochester MI 48306-4757 Ph: (248) 328-4000 | Pankaj Vakharia Md Pllc 15224 Apollo Drive Holly MI 48442-1166 Ph: (248) 328-4000 |
| NPI Number | 1275706434 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 03/29/2016 |
| Medicare PECOS PAC ID | 0840362067 |
|---|---|
| Medicare Enrollment ID | O20080703000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275706434 | NPI | - | NPPES |
| 110203900 | Other | MI | R.R. MEDICARE |
| 4217778 | Other | MI | MEDICAID, FLINT |
| PV033669 | Other | MI | LICENSE |
| 1106338622 | Other | MI | BCBSM |
| 4217820 | Medicaid | MI | |
| 1144302 | Other | MI | HEALTHPLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PV033669 (Michigan) | Primary |
| Provider Name | Pankaj N Vakharia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558422774 PECOS PAC ID: 8123190345 Enrollment ID: I20080703000390 |
Wellness Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11041 Hensell Rd, Holly, MI 48442 Phone: 810-656-2208 Fax: 810-545-4196 | |
Premier Medical And Rehabilitation Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 N Saginaw St, Holly, MI 48442 Phone: 248-935-6646 |