| Mr Soham Trivedi, PA-C | |
|
9401 General Dr Unit 100, Plymouth, MI 48170-4628 | |
| (734) 335-1336 | |
| (734) 392-8780 |
| Full Name | Mr Soham Trivedi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 9401 General Dr Unit 100, Plymouth, 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 |
|---|---|---|---|
| 1447629795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007470 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Providence Southfield Hospital | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Observation Physicians Pllc | 3577603604 | 138 |
| Independent Hospitalist Physicians Pllc | 3971874090 | 61 |
| Pure Psychiatry Of Michigan Pllc | 1254741283 | 102 |
| Entity Name | Henry Ford Health Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Independent Observation Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Entity Name | Independent Hospitalist Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851820641 PECOS PAC ID: 3971874090 Enrollment ID: O20170808003906 |
| Entity Name | Pure Psychiatry of Michigan PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311 |
| Entity Name | Nextcare Michigan Providers PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972106938 PECOS PAC ID: 5395157218 Enrollment ID: O20201218000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Soham Trivedi, PA-C 29866 Hemlock Ave, Farmington Hills, MI 48336-2055 Ph: (248) 228-4402 | Mr Soham Trivedi, PA-C 9401 General Dr Unit 100, Plymouth, MI 48170-4628 Ph: (734) 335-1336 |
Miss Hayat M Dabaja, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 800-653-6568 Fax: 313-876-1305 |
William Andrew Graham, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41424 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-254-0700 |
Emily N Zoroya, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-928-1600 Fax: 734-732-4908 |
Kathryn Marie Poulos, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9377 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-451-0070 Fax: 734-451-1583 |
Nathaniel Lambie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1498 S Sheldon Rd, Plymouth, MI 48170 Phone: 734-927-5335 |
Elizabeth Ashley Kozak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15474 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-335-6103 Fax: 630-734-4715 |
Dennis W Kabaczy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 47311 Five Mile Rd, Plymouth, MI 48170 Phone: 734-254-0665 Fax: 734-254-0667 |