| Jbc Mdvip Pc | |
|
1639 E Big Beaver Rd Ste 202 Troy MI 48083-2054 | |
| (248) 606-4190 | |
| (248) 598-5088 |
| Full Name | Jbc Mdvip Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1639 E Big Beaver Rd Ste 202, Troy, Michigan |
| Authorized Official Name and Position | John B Calado (OWNER) |
| Authorized Official Contact | 2486064190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jbc Mdvip Pc 1639 E Big Beaver Rd Ste 202 Troy MI 48083-2054 Ph: (248) 606-4190 | Jbc Mdvip Pc 1639 E Big Beaver Rd Ste 202 Troy MI 48083-2054 Ph: (248) 606-4190 |
| NPI Number | 1962863548 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 01/02/2020 |
| Medicare PECOS PAC ID | 8022316611 |
|---|---|
| Medicare Enrollment ID | O20160414001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962863548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101012319 (Michigan) | Primary |
| Provider Name | John B Calado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972567113 PECOS PAC ID: 1355447772 Enrollment ID: I20070502000015 |
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