| Associated Physicians Group PLC | |
|
1695 W 12 Mile Rd Suite 200 Berkley MI 48072-2182 | |
| (248) 548-9090 | |
| (248) 548-8462 |
| Full Name | Associated Physicians Group PLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1695 W 12 Mile Rd, Berkley, Michigan |
| Authorized Official Name and Position | Nelum Gupta (OWNER) |
| Authorized Official Contact | 2485489090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Physicians Group PLC 1695 W 12 Mile Rd Suite 200 Berkley MI 48072-2182 Ph: (248) 548-9090 | Associated Physicians Group PLC 1695 W 12 Mile Rd Suite 200 Berkley MI 48072-2182 Ph: (248) 548-9090 |
| NPI Number | 1447794102 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 12/14/2016 |
| Medicare PECOS PAC ID | 7113209875 |
|---|---|
| Medicare Enrollment ID | O20170113000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447794102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Neelum Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811901309 PECOS PAC ID: 3072573823 Enrollment ID: I20041015000221 |
| Provider Name | Jesse C Krakauer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073582417 PECOS PAC ID: 2961450150 Enrollment ID: I20050104000918 |
| Provider Name | Justine M Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295759504 PECOS PAC ID: 5294791042 Enrollment ID: I20100303000881 |
| Provider Name | Rema P Menon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669634499 PECOS PAC ID: 1759412703 Enrollment ID: I20100708000422 |
| Provider Name | Camelia L Salanta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063675114 PECOS PAC ID: 9335311521 Enrollment ID: I20111012000455 |
| Provider Name | Jennifer Balint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417478025 PECOS PAC ID: 7012289259 Enrollment ID: I20170822003865 |
| Provider Name | Tova E Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184139826 PECOS PAC ID: 1456783414 Enrollment ID: I20191112002797 |
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