| Renovis Care Company | |
|
25433 Saint James Southfield MI 48075 | |
| (248) 470-7318 | |
| Not Available |
| Full Name | Renovis Care Company |
|---|---|
| Speciality | Internal Medicine |
| Location | 25433 Saint James, Southfield, Michigan |
| Authorized Official Name and Position | Olisaeloka I Dallah (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2484707318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovis Care Company 29155 Northwestern Hwy Ste 515 Southfield MI 48034-1011 Ph: (248) 470-7318 | Renovis Care Company 25433 Saint James Southfield MI 48075 Ph: (248) 470-7318 |
| NPI Number | 1528750130 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 5395106611 |
|---|---|
| Medicare Enrollment ID | O20230803000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528750130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bobby G Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891767489 PECOS PAC ID: 0547153587 Enrollment ID: I20040608001204 |
| Provider Name | Reginald Nneji Eburuche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932189958 PECOS PAC ID: 3971558115 Enrollment ID: I20050322000339 |
| Provider Name | Achraf Slim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689962136 PECOS PAC ID: 8921223785 Enrollment ID: I20141118000555 |
| Provider Name | Angela E Eburuche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831595040 PECOS PAC ID: 9133366008 Enrollment ID: I20150130001021 |
| Provider Name | Sanjula Suresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386015451 PECOS PAC ID: 6507255452 Enrollment ID: I20211115000996 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |