| Ghulam A Harrie, MD | |
|
461 W Huron St Ste 107, Pontiac, MI 48341-1601 | |
| (248) 724-7600 | |
| (248) 724-6800 |
| Full Name | Ghulam A Harrie |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 461 W Huron St Ste 107, Pontiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275055626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301112847 (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 | Dedicated Physicians Group of Michigan, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992392393 PECOS PAC ID: 1153735287 Enrollment ID: O20210201000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Ghulam A Harrie, MD Po Box 430150, Pontiac, MI 48343-0150 Ph: (248) 724-7600 | Ghulam A Harrie, MD 461 W Huron St Ste 107, Pontiac, MI 48341-1601 Ph: (248) 724-7600 |
Dr. Essa Hanna Hattar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 |
Ikechukwu Mgbudem, Family Medicine Medicare: Medicare Enrolled Practice Location: Oakland Integrated Health Care Network Dba Honor Commun, 461 West Huron Street, Suite 107, Pontiac, MI 48341 Phone: 248-724-7600 Fax: 248-857-7141 |
Dr. Kelly Mason, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Baldwin Ave Ste 102, Pontiac, MI 48340 Phone: 248-334-4962 Fax: 810-733-1632 |
Lorand Kristof, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-6700 |
Casey A Raisch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 |
Enrique Luis Sabater, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5300 |
Naga Preethi Kadiri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1200 N Telegraph Rd Dept 34e, Pontiac, MI 48341 Phone: 248-724-7600 Fax: 248-724-6800 |