| Rodas Md Pllc | |
|
19928 Edinberg Dr Macomb MI 48044-2150 | |
| (313) 485-7777 | |
| Not Available |
| Full Name | Rodas Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19928 Edinberg Dr, Macomb, Michigan |
| Authorized Official Name and Position | Tesfamariam O Metiku (PRESIDENT) |
| Authorized Official Contact | 3134857777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodas Md Pllc 19928 Edinberg Dr Macomb MI 48044-2150 Ph: (313) 485-7777 | Rodas Md Pllc 19928 Edinberg Dr Macomb MI 48044-2150 Ph: (313) 485-7777 |
| NPI Number | 1730545310 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Medicare PECOS PAC ID | 7416251475 |
|---|---|
| Medicare Enrollment ID | O20160211001384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730545310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301092621 (Michigan) | Primary |
| Provider Name | Tesfamariam O Metiku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427289339 PECOS PAC ID: 5092981936 Enrollment ID: I20111227000651 |
| Provider Name | Ursula R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659823847 PECOS PAC ID: 5395007686 Enrollment ID: I20180327000123 |
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