| Renny Abraham, MD | |
|
834 S Lapeer Rd Ste 100, Oxford, MI 48371-5039 | |
| (248) 384-8320 | |
| (248) 384-8321 |
| Full Name | Renny Abraham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 834 S Lapeer Rd Ste 100, Oxford, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811995673 | NPI | - | NPPES |
| P01235908 | Other | MI | RAILROAD MEDICARE IND PIN |
| 1811995673 | Medicaid | MI | |
| 1106312642 | Other | MI | BCBS IND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RA074879 (Michigan) | Secondary |
| 208000000X | Pediatrics | 4301074879 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Home Care, Ann Arbor | Farmington hills, MI | Home health agency |
| Progress At Home | Milford, MI | Home health agency |
| Mclaren Oakland | Pontiac, MI | Hospital |
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Powerback Rehabilitation Llc | 2365359932 | 619 |
| Michigan Healthcare Professionals Pc | 0345413258 | 520 |
| Mclaren Community Based Primary Care Group | 2466938048 | 54 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Renny Abraham, MD 5701 Bow Pointe Drive, Suite 100, Clarkston, MI 48346-3199 Ph: (248) 625-2621 | Renny Abraham, MD 834 S Lapeer Rd Ste 100, Oxford, MI 48371-5039 Ph: (248) 384-8320 |
Dr. Mahasti Rahmanizadeh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 385 N Lapeer Rd, Oxford, MI 48371 Phone: 248-628-3000 Fax: 248-628-2781 |