| Pavani Kolli, Md Plc | |
|
24604 Michigan Ave Dearborn MI 48124-1742 | |
| (313) 908-9374 | |
| (313) 562-8511 |
| Full Name | Pavani Kolli, Md Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24604 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Pavani Kolli (PRESIDENT) |
| Authorized Official Contact | 7342662780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavani Kolli, Md Plc 24604 Michigan Ave Dearborn MI 48124-1742 Ph: (313) 908-9374 | Pavani Kolli, Md Plc 24604 Michigan Ave Dearborn MI 48124-1742 Ph: (313) 908-9374 |
| NPI Number | 1467423194 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 09/04/2008 |
| Medicare PECOS PAC ID | 8224013784 |
|---|---|
| Medicare Enrollment ID | O20040621000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467423194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pavani Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649240615 PECOS PAC ID: 1254316623 Enrollment ID: I20040621000783 |
Infinity Visiting Physicians Associate Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5245 Schaefer Rd Ste D, Dearborn, MI 48126 Phone: 248-862-5311 | |
Dearborn Family Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3133 S Telegraph Rd, Dearborn, MI 48124 Phone: 313-565-6566 Fax: 313-561-5554 | |
W.j. Ringold M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Monroe St, Dearborn, MI 48124 Phone: 313-562-9100 Fax: 313-562-5851 | |
Dearborn Internist P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10066 Dix Ave, Suite 100, Dearborn, MI 48120 Phone: 313-849-4949 Fax: 313-849-0469 | |
Positron Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6437 Argyle St, Dearborn, MI 48126 Phone: 650-503-9990 | |
Henry Ford Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Auto Club Dr, Suite 112, Dearborn, MI 48126 Phone: 313-317-2000 Fax: 313-317-2090 | |
Michigan Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Michigan Ave, Dearborn, MI 48126 Phone: 313-945-0075 |