| Oakland Health Associate Of Waterford Clarkston | |
|
4576 W Walton Blvd Waterford MI 48329-4905 | |
| (586) 770-9409 | |
| Not Available |
| Full Name | Oakland Health Associate Of Waterford Clarkston |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4576 W Walton Blvd, Waterford, Michigan |
| Authorized Official Name and Position | Sebi R Fishta (CEO) |
| Authorized Official Contact | 5867709409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Health Associate Of Waterford Clarkston 4567 W Walton Blvd Waterford MI 48329-4078 Ph: (586) 770-9409 | Oakland Health Associate Of Waterford Clarkston 4576 W Walton Blvd Waterford MI 48329-4905 Ph: (586) 770-9409 |
| NPI Number | 1861980609 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Medicare PECOS PAC ID | 9931619517 |
|---|---|
| Medicare Enrollment ID | O20250611003947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861980609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sebi R Fishta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184999070 PECOS PAC ID: 5395255970 Enrollment ID: I20250612003650 |
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