| Samra Haque, | |
|
18463 Livernois Ave, Detroit, MI 48221-2254 | |
| (313) 369-1500 | |
| (248) 581-8839 |
| Full Name | Samra Haque |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 18463 Livernois Ave, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588480479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601013226 (Michigan) | Primary |
| Entity Name | Exclusive Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811226749 PECOS PAC ID: 9335279942 Enrollment ID: O20100608000793 |
| Entity Name | Epic Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659145506 PECOS PAC ID: 0840769352 Enrollment ID: O20260514000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Samra Haque, 18000 W 9 Mile Rd Ste 200, Southfield, MI 48075-4020 Ph: (248) 336-4000 | Samra Haque, 18463 Livernois Ave, Detroit, MI 48221-2254 Ph: (313) 369-1500 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 |
Jennifer Gracia Villella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd # K9, Detroit, MI 48202 Phone: 313-916-4920 |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Lara Barnas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Annabel Shammami, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Mack Ave, Detroit, MI 48201 Phone: 313-577-1716 |
Andrea Bell Kmiec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Sybrena Evans, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-833-4490 |