| Southfield Family Practice Pllc | |
|
22972 Lahser Road Southfield MI 48033 | |
| (248) 353-4777 | |
| (248) 353-4235 |
| Full Name | Southfield Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 22972 Lahser Road, Southfield, Michigan |
| Authorized Official Name and Position | Mutahhar Ahmad (PRESIDENT) |
| Authorized Official Contact | 2483534777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfield Family Practice Pllc 22972 Lahser Road Southfield MI 48033 Ph: (248) 353-4777 | Southfield Family Practice Pllc 22972 Lahser Road Southfield MI 48033 Ph: (248) 353-4777 |
| NPI Number | 1306195730 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Medicare PECOS PAC ID | 5395996631 |
|---|---|
| Medicare Enrollment ID | O20121113000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306195730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301065663 (Michigan) | Primary |
| Provider Name | Mutahhar Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134168388 PECOS PAC ID: 9436114840 Enrollment ID: I20041124000841 |
| Provider Name | Kermit E White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528045903 PECOS PAC ID: 9133220148 Enrollment ID: I20081006000052 |
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 |