| Advanced Internal Medicine Pllc | |
|
2720 Pleasant Grove Rd Lansing MI 48910-2410 | |
| (517) 575-9614 | |
| (877) 370-2381 |
| Full Name | Advanced Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2720 Pleasant Grove Rd, Lansing, Michigan |
| Authorized Official Name and Position | Christopher J Alvarado (PRACTICE OWNER) |
| Authorized Official Contact | 5175759614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medicine Pllc 2720 Pleasant Grove Rd Lansing MI 48910-2410 Ph: (517) 575-9614 | Advanced Internal Medicine Pllc 2720 Pleasant Grove Rd Lansing MI 48910-2410 Ph: (517) 575-9614 |
| NPI Number | 1073118550 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 9739594011 |
|---|---|
| Medicare Enrollment ID | O20210218001834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073118550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher John Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073772968 PECOS PAC ID: 9739354473 Enrollment ID: I20111208000504 |
| Provider Name | Julie Ann Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003215260 PECOS PAC ID: 8628398187 Enrollment ID: I20150522001851 |
| Provider Name | Azra Abbasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871196014 PECOS PAC ID: 5395153423 Enrollment ID: I20210409000412 |
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