| Amity Internal Medicine, Pc | |
|
31500 Telegraph Rd Ste 240 Bingham Farms MI 48025-4315 | |
| (248) 792-3690 | |
| (248) 792-3689 |
| Full Name | Amity Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 31500 Telegraph Rd Ste 240, Bingham Farms, Michigan |
| Authorized Official Name and Position | Karen Raquel Russell-little (OWNER) |
| Authorized Official Contact | 2487216312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amity Internal Medicine, Pc 31500 Telegraph Rd Ste 240 Bingham Farms MI 48025-4315 Ph: (248) 792-3690 | Amity Internal Medicine, Pc 31500 Telegraph Rd Ste 240 Bingham Farms MI 48025-4315 Ph: (248) 792-3690 |
| NPI Number | 1588031280 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 01/18/2023 |
| Medicare PECOS PAC ID | 4284931320 |
|---|---|
| Medicare Enrollment ID | O20160405000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588031280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen R Russell-little |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841368370 PECOS PAC ID: 5890758825 Enrollment ID: I20041110000321 |
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