| Ajiesh Avirah, DPT | |
|
19556 Harper Ave, Harper Woods, MI 48225-2037 | |
| (313) 885-6491 | |
| Not Available |
| Full Name | Ajiesh Avirah |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 19556 Harper Ave, Harper Woods, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205320157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501014368 (Michigan) | Primary |
| Provider Name | St Peter Medical Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720094337 PECOS PAC ID: 5597768739 Enrollment ID: O20060809000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Ajiesh Avirah, DPT 261 Mack Ave, Detroit, MI 48201-2417 Ph: (313) 885-6491 | Ajiesh Avirah, DPT 19556 Harper Ave, Harper Woods, MI 48225-2037 Ph: (313) 885-6491 |
Dr. Romina Juliana Profeta, DPT, OMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19556 Harper Ave, Harper Woods, MI 48225 Phone: 313-885-6491 Fax: 313-885-6581 | |
Beverly Ruth Worman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Suite 280, Harper Woods, MI 48225 Phone: 313-884-8920 Fax: 313-884-8510 | |
Julie A Shahly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Suite 280, Harper Woods, MI 48225 Phone: 313-884-8902 Fax: 313-884-8510 | |
Krystal Matesic, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Harper Woods, MI 48225 Phone: 313-884-8920 | |
Jennifer Michelle Holland, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19701 Vernier Rd, Harper Woods, MI 48225 Phone: 313-884-8920 | |
Lynn Ann Warbel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Harper Woods, MI 48225 Phone: 313-884-8920 |