Your Physicians P.c. | |
1135 W University Dr Suite 220 Rochester Hills MI 48307-1871 | |
(248) 651-1155 | |
(248) 651-8537 |
Full Name | Your Physicians P.c. |
---|---|
Speciality | Internal Medicine |
Location | 1135 W University Dr, Rochester Hills, Michigan |
Authorized Official Name and Position | Katie Short (OFFICE MANAGER) |
Authorized Official Contact | 2486511155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Your Physicians P.c. 1135 W University Dr Suite 220 Rochester Hills MI 48307-1871 Ph: (248) 651-1155 | Your Physicians P.c. 1135 W University Dr Suite 220 Rochester Hills MI 48307-1871 Ph: (248) 651-1155 |
NPI Number | 1447438759 |
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Provider Enumeration Date | 02/08/2008 |
Last Update Date | 10/12/2012 |
Medicare PECOS PAC ID | 5294811360 |
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Medicare Enrollment ID | O20080329000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447438759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301074932 (Michigan) | Primary |
Provider Name | Sangita Pradhan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144290446 PECOS PAC ID: 9335101708 Enrollment ID: I20041028000283 |
Provider Name | Krystal Graziosi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801659875 PECOS PAC ID: 5193165405 Enrollment ID: I20240503001989 |
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