| Iha Bloomfield Primary Care | |
|
43097 Woodward Ave Ste 204 Bloomfield Township MI 48302-5043 | |
| (248) 836-0040 | |
| (248) 836-0042 |
| Full Name | Iha Bloomfield Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 43097 Woodward Ave Ste 204, Bloomfield Township, Michigan |
| Authorized Official Name and Position | Cynthia Elliott (PRESIDENT & CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7347476766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iha Bloomfield Primary Care 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 | Iha Bloomfield Primary Care 43097 Woodward Ave Ste 204 Bloomfield Township MI 48302-5043 Ph: (248) 836-0040 |
| NPI Number | 1245815984 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Medicare PECOS PAC ID | 7012316664 |
|---|---|
| Medicare Enrollment ID | O20210601002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245815984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Paunel Grivej |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215986682 PECOS PAC ID: 1456252915 Enrollment ID: I20040116000848 |
| Provider Name | Laura Elizabeth Sychta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548571862 PECOS PAC ID: 6204801178 Enrollment ID: I20040902000083 |
| Provider Name | Jacky Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693671 PECOS PAC ID: 3375510159 Enrollment ID: I20040913000025 |
| Provider Name | Fabian L Fregoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023062759 PECOS PAC ID: 8729057237 Enrollment ID: I20040930001186 |
| Provider Name | Adil Yousif Arabbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316936008 PECOS PAC ID: 2264480409 Enrollment ID: I20050105000173 |
| Provider Name | Hadeel N Razook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336119437 PECOS PAC ID: 4486676608 Enrollment ID: I20051230000394 |
| Provider Name | Benjamin J Diaczok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760480834 PECOS PAC ID: 1355350463 Enrollment ID: I20060419000023 |
| Provider Name | Nashwan Y Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124042288 PECOS PAC ID: 9739183278 Enrollment ID: I20060914000182 |
| Provider Name | Brenda J Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568519593 PECOS PAC ID: 4688776388 Enrollment ID: I20070227000470 |
| Provider Name | Geetha Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790723625 PECOS PAC ID: 5193828937 Enrollment ID: I20070315000061 |
| Provider Name | Leslie a Caren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288960 PECOS PAC ID: 4688758717 Enrollment ID: I20080227000426 |
| Provider Name | Michael Krivitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710986955 PECOS PAC ID: 4486738234 Enrollment ID: I20080303000681 |
| Provider Name | Timothy G Dickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366448896 PECOS PAC ID: 4486739133 Enrollment ID: I20080305000687 |
| Provider Name | Walter Culver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346240918 PECOS PAC ID: 7810072568 Enrollment ID: I20080305000712 |
| Provider Name | Amy J Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972509404 PECOS PAC ID: 5890873186 Enrollment ID: I20080428000453 |
| Provider Name | Cecilia Cristina Cosma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992973721 PECOS PAC ID: 5597827469 Enrollment ID: I20081231000255 |
| Provider Name | Rhonda a Gumma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487868600 PECOS PAC ID: 1254470693 Enrollment ID: I20091125000148 |
| Provider Name | Michael Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588633176 PECOS PAC ID: 8820126113 Enrollment ID: I20100506000622 |
| Provider Name | Christine R Schloesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982720066 PECOS PAC ID: 6103963293 Enrollment ID: I20100929001096 |
| Provider Name | Basmal G Yaldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346479789 PECOS PAC ID: 1153572615 Enrollment ID: I20121108000580 |
| Provider Name | Anupam a Sule |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699087296 PECOS PAC ID: 2961645213 Enrollment ID: I20130905000538 |
| Provider Name | Tatyanna R Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427178250 PECOS PAC ID: 2163745498 Enrollment ID: I20141217002635 |
| Provider Name | Victoria J Torgler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225304272 PECOS PAC ID: 6002066966 Enrollment ID: I20150709000884 |
| Provider Name | Pritha Chitagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811316813 PECOS PAC ID: 4385940063 Enrollment ID: I20170726002677 |
| Provider Name | Daniel Meram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215354493 PECOS PAC ID: 5597085787 Enrollment ID: I20171013002879 |
| Provider Name | Elyse Marie Hewitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083006407 PECOS PAC ID: 1850693565 Enrollment ID: I20181105001398 |
| Provider Name | David Mcnaughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568843142 PECOS PAC ID: 4183938160 Enrollment ID: I20181119003370 |
| Provider Name | Amanda L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154772663 PECOS PAC ID: 4486942554 Enrollment ID: I20190829003449 |
| Provider Name | Courtney Paladino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023453453 PECOS PAC ID: 7618207895 Enrollment ID: I20191002000121 |
| Provider Name | Kathryn a Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245684190 PECOS PAC ID: 2961794490 Enrollment ID: I20210129002128 |
| Provider Name | Nora Hana Dagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215420377 PECOS PAC ID: 7911309067 Enrollment ID: I20210712002620 |
| Provider Name | Shibani Tipnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497325476 PECOS PAC ID: 3375946296 Enrollment ID: I20210729000605 |
| Provider Name | Anna Pierzchala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265728802 PECOS PAC ID: 1153645437 Enrollment ID: I20211207001912 |
| Provider Name | Daniel Warden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710428016 PECOS PAC ID: 7113251752 Enrollment ID: I20220524002360 |
| Provider Name | Samantha Hight |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114663317 PECOS PAC ID: 2860879244 Enrollment ID: I20220525000287 |
| Provider Name | Bradford J Woelke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184121824 PECOS PAC ID: 5092111385 Enrollment ID: I20220615000784 |
| Provider Name | Michael Allen Scarchilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760944037 PECOS PAC ID: 4981937968 Enrollment ID: I20220720000671 |
| Provider Name | Kevin DO |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750777066 PECOS PAC ID: 9436405586 Enrollment ID: I20221130002254 |
| Provider Name | Derek Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508493982 PECOS PAC ID: 2769804582 Enrollment ID: I20230601001964 |
| Provider Name | Vincent Hannosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861028821 PECOS PAC ID: 2466875257 Enrollment ID: I20230613002183 |
| Provider Name | Dalia Alhusein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558984468 PECOS PAC ID: 7416378328 Enrollment ID: I20230906003884 |
| Provider Name | Judd Koujane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629782347 PECOS PAC ID: 4789025966 Enrollment ID: I20240520000491 |
| Provider Name | Kathren Hisham Shango |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619545845 PECOS PAC ID: 0749686731 Enrollment ID: I20240817000282 |
| Provider Name | Michele Blumberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710182670 PECOS PAC ID: 0749374437 Enrollment ID: I20250106001424 |
| Provider Name | Michelle Barbat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679215990 PECOS PAC ID: 1355729609 Enrollment ID: I20250626000190 |
| Provider Name | Juliana Paterra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417699935 PECOS PAC ID: 0648783902 Enrollment ID: I20250630003373 |
| Provider Name | Bethany Long |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114743002 PECOS PAC ID: 8628586583 Enrollment ID: I20250801002403 |
| Provider Name | Syeda Wajiha Salari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407506686 PECOS PAC ID: 3779962717 Enrollment ID: I20250825001109 |
| Provider Name | Gina Nathwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588306773 PECOS PAC ID: 6507232014 Enrollment ID: I20250910000284 |
| Provider Name | Ruxandra Monica Ionescu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821748013 PECOS PAC ID: 2668852013 Enrollment ID: I20251219003670 |
Visiting Doctor Solutions PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4288 Stoneleigh Rd, Bloomfield Township, MI 48302 Phone: 248-765-2367 |
Mudassir Daimee MD , PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5248 Provincial Dr, Bloomfield Township, MI 48302 Phone: 248-302-9147 |