| Faisal M Shareefuddin, MD | |
|
11111 Hall Rd, Suite 300, Utica, MI 48317-5711 | |
| (586) 323-2181 | |
| (586) 323-2184 |
| Full Name | Faisal M Shareefuddin |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 11111 Hall Rd, Utica, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538212485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | FS082421 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 4301082421 (Michigan) | Primary |
| Entity Name | Oakland Integrated Healthcare Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316214299 PECOS PAC ID: 9436313004 Enrollment ID: O20120611000523 |
| Entity Name | Community Programs, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003247362 PECOS PAC ID: 2365741998 Enrollment ID: O20160503000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Faisal M Shareefuddin, MD Po Box 1500, Novi, MI 48376-1500 Ph: (248) 592-5138 | Faisal M Shareefuddin, MD 11111 Hall Rd, Suite 300, Utica, MI 48317-5711 Ph: (586) 323-2181 |
Kunjesh Paresh Shah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45569 Van Dyke Ave Ste 3, Utica, MI 48317 Phone: 586-258-8791 Fax: 586-799-4474 | |
Dr. Gary Stencel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49310 Van Dyke Ave, Utica, MI 48317 Phone: 586-731-8900 Fax: 586-731-7762 |