| Clarkston Internal Medicine, P.c. | |
| 
					7188 N Main St Clarkston MI 48346-1571  | |
| (248) 625-1600 | |
| (248) 625-0239 | 
| Full Name | Clarkston Internal Medicine, P.c. | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 7188 N Main St, Clarkston, Michigan | 
| Authorized Official Name and Position | Nathan B Chase (PRESIDENT) | 
| Authorized Official Contact | 2486251600 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Clarkston Internal Medicine, P.c. 7188 N Main St Clarkston MI 48346-1571 Ph: (248) 625-1600  | Clarkston Internal Medicine, P.c. 7188 N Main St Clarkston MI 48346-1571 Ph: (248) 625-1600  | 
| NPI Number | 1417085085 | 
|---|---|
| Provider Enumeration Date | 03/02/2007 | 
| Last Update Date | 09/27/2011 | 
| Medicare PECOS PAC ID | 2860417995 | 
|---|---|
| Medicare Enrollment ID | O20051007000694 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417085085 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301050183 (Michigan) | Primary | 
| Provider Name | Bashar Okka | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1942210299 PECOS PAC ID: 2365467495 Enrollment ID: I20070713000737  | 
| Provider Name | Nathan B Chase | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1174533491 PECOS PAC ID: 5092730127 Enrollment ID: I20100814000213  | 
| Provider Name | Rosa Mirijanian | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1174533400 PECOS PAC ID: 8729003850 Enrollment ID: I20100817000350  | 
| Provider Name | Maan Ekkah | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1962632042 PECOS PAC ID: 3678707593 Enrollment ID: I20131009000364  | 
| Provider Name | Adrienne F Nalu | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235511080 PECOS PAC ID: 3375843618 Enrollment ID: I20151118001901  | 
| Provider Name | Laura Holt | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497153159 PECOS PAC ID: 3779873070 Enrollment ID: I20170606000350  | 
| Provider Name | Megan Clemence | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1457911281 PECOS PAC ID: 2961730833 Enrollment ID: I20190830000364  | 
| Provider Name | Chirine El Mokdad | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1578054573 PECOS PAC ID: 8729334867 Enrollment ID: I20210727002886  | 
Iha Ooma Primary Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Dixie Hwy Ste 303, Clarkston, MI 48346 Phone: 248-625-0030 Fax: 248-625-4403  | |
Waldon Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5900 Waldon Rd, Ste C, Clarkston, MI 48346 Phone: 248-625-8730 Fax: 248-625-9830  | |
B. G. Patel, M.d. Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Dixie Hwy, Ste 303, Clarkston, MI 48346 Phone: 248-625-0030 Fax: 248-625-4403  | |
Ala E. Imam, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6770 Dixie Hwy, Suite 301, Clarkston, MI 48346 Phone: 248-625-3000 Fax: 248-623-2278  | |
Salta Of Clarkston, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6483 Citation Dr Ste B, Clarkston, MI 48346 Phone: 248-861-0010 Fax: 248-861-0020  | |
Clarkston Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5790 S Main Street, Ste J, Clarkston, MI 48346 Phone: 248-625-8220 Fax: 248-625-6646  | |
Jeetender Matharu Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7250 Dixie Hwy, Ste 100, Clarkston, MI 48346 Phone: 248-620-3500 Fax: 248-620-3503  |