| Luis Pomodoro M D P C | |
|
15645 Farmington Rd Livonia MI 48154-2851 | |
| (734) 425-5320 | |
| (734) 425-6212 |
| Full Name | Luis Pomodoro M D P C |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15645 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Luis A. Pomodoro (PRESIDENT) |
| Authorized Official Contact | 7344255320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Pomodoro M D P C 15645 Farmington Rd Livonia MI 48154-2851 Ph: (734) 425-5320 | Luis Pomodoro M D P C 15645 Farmington Rd Livonia MI 48154-2851 Ph: (734) 425-5320 |
| NPI Number | 1043327935 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043327935 | NPI | - | NPPES |
| 118156 | Other | MI | CARE CHOICES |
| 2608203502 | Other | MI | BLUE CROSS BLUE SHIELD |
| 118156 | Other | MI | PREFERRED CHOICES |
| 036223 | Other | MI | VALUE OPTIONS |
| 1958828 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301037706 (Michigan) | Primary |
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