| 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  |