Vitae Health Medical Michigan Pllc | |
26505 Powers Ave Dearborn Heights MI 48125-1327 | |
(224) 777-8034 | |
Not Available |
Full Name | Vitae Health Medical Michigan Pllc |
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Speciality | Internal Medicine |
Location | 26505 Powers Ave, Dearborn Heights, Michigan |
Authorized Official Name and Position | Amish Manu Patel (PRESIDENT) |
Authorized Official Contact | 2247778034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vitae Health Medical Michigan Pllc 3450 Oakton St Ste 300 Skokie IL 60076-2951 Ph: (224) 777-8034 | Vitae Health Medical Michigan Pllc 26505 Powers Ave Dearborn Heights MI 48125-1327 Ph: (224) 777-8034 |
NPI Number | 1629695283 |
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Provider Enumeration Date | 06/30/2020 |
Last Update Date | 09/30/2021 |
Medicare PECOS PAC ID | 7810309325 |
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Medicare Enrollment ID | O20201207001413 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629695283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Brenda Radford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952771339 PECOS PAC ID: 6608185178 Enrollment ID: I20180207000579 |
Provider Name | Zahra Shariff |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20200415002894 |
Provider Name | Peninah Onyango |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386247674 PECOS PAC ID: 7911310974 Enrollment ID: I20210112000715 |
Provider Name | Toccara E Bailey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568813871 PECOS PAC ID: 5496162372 Enrollment ID: I20210319000890 |
Provider Name | Laura Malek Beydoun |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124483185 PECOS PAC ID: 8628072782 Enrollment ID: I20210330001145 |
Provider Name | Jillian Cohren Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689249641 PECOS PAC ID: 3678972569 Enrollment ID: I20210526000856 |
Provider Name | Roseline Opeyemi Emadamerho |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275103939 PECOS PAC ID: 9436554532 Enrollment ID: I20210827002072 |
Provider Name | Chidimma A Onwuegbuchu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235704222 PECOS PAC ID: 4284032228 Enrollment ID: I20211006001027 |
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