| Comprehensive Integrated Health Care | |
|
30880 Beck Rd Novi MI 48377-1000 | |
| (248) 926-0009 | |
| (248) 926-8972 |
| Full Name | Comprehensive Integrated Health Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 30880 Beck Rd, Novi, Michigan |
| Authorized Official Name and Position | Sungnan Park-davis (PRESIDENT) |
| Authorized Official Contact | 2482290640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Integrated Health Care 30880 Beck Rd Novi MI 48377-1000 Ph: (248) 926-0009 | Comprehensive Integrated Health Care 30880 Beck Rd Novi MI 48377-1000 Ph: (248) 926-0009 |
| NPI Number | 1649631813 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 09/12/2018 |
| Medicare PECOS PAC ID | 6204126857 |
|---|---|
| Medicare Enrollment ID | O20160609001705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649631813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sungnan Park Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932291432 PECOS PAC ID: 6608835475 Enrollment ID: I20041007000224 |
| Provider Name | Heather Koza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194045526 PECOS PAC ID: 1153550223 Enrollment ID: I20140213000077 |
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