| Cass River Health Plaza Pllc | |
|
6940 Dixie Hwy Bridgeport MI 48722-9760 | |
| (989) 746-0933 | |
| (989) 746-5070 |
| Full Name | Cass River Health Plaza Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6940 Dixie Hwy, Bridgeport, Michigan |
| Authorized Official Name and Position | Naveed Mahfooz (OWNER) |
| Authorized Official Contact | 9897460933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cass River Health Plaza Pllc 6940 Dixie Hwy Bridgeport MI 48722-9760 Ph: (989) 746-0933 | Cass River Health Plaza Pllc 6940 Dixie Hwy Bridgeport MI 48722-9760 Ph: (989) 746-0933 |
| NPI Number | 1356600431 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/10/2012 |
| Medicare PECOS PAC ID | 0042466484 |
|---|---|
| Medicare Enrollment ID | O20120817000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356600431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301059644 (Michigan) | Primary |
| Provider Name | Naveed Mahfooz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780639450 PECOS PAC ID: 9830158609 Enrollment ID: I20050606000749 |
| Provider Name | Stephen James Mattichak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013930189 PECOS PAC ID: 5698779759 Enrollment ID: I20060831000427 |
| Provider Name | Lubna Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467448134 PECOS PAC ID: 3072600386 Enrollment ID: I20071102000705 |
| Provider Name | Ameed Abdulrazzak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902069016 PECOS PAC ID: 5698943132 Enrollment ID: I20110727000533 |
| Provider Name | Jennifer L Bender-stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407114085 PECOS PAC ID: 0941458350 Enrollment ID: I20120924000563 |
| Provider Name | Nilufa Akhter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962794628 PECOS PAC ID: 5294953964 Enrollment ID: I20140822000659 |
| Provider Name | Lori Jane Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760946495 PECOS PAC ID: 6507104320 Enrollment ID: I20190220001731 |
| Provider Name | Rabeea Mirza |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679993216 PECOS PAC ID: 3577866649 Enrollment ID: I20190531000026 |
| Provider Name | Zakia Sultana |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629419353 PECOS PAC ID: 5496035826 Enrollment ID: I20220119000927 |
| Provider Name | Khizer Sikander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962744805 PECOS PAC ID: 1850605486 Enrollment ID: I20220218000439 |
| Provider Name | Syed Umer Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366954406 PECOS PAC ID: 9133486392 Enrollment ID: I20230411002635 |
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Great Lakes Bay Health Centers Bridgeport Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6297 Dixie Highway, Bridgeport, MI 48722 Phone: 989-759-6460 Fax: 989-759-6465 | |
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