| Kim M Almodovar Md Plc | |
|
1460 Walton Blvd Suite 209 Rochester Hills MI 48309-1768 | |
| (248) 656-4225 | |
| (248) 656-4250 |
| Full Name | Kim M Almodovar Md Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1460 Walton Blvd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Kim M Almodovar (OWNER) |
| Authorized Official Contact | 2486564225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim M Almodovar Md Plc 1460 Walton Blvd Suite 209 Rochester Hills MI 48309-1768 Ph: (248) 656-4225 | Kim M Almodovar Md Plc 1460 Walton Blvd Suite 209 Rochester Hills MI 48309-1768 Ph: (248) 656-4225 |
| NPI Number | 1548399652 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 3274727789 |
|---|---|
| Medicare Enrollment ID | O20101028001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548399652 | NPI | - | NPPES |
| 4177912 | Medicaid | MI | |
| 0M96440 | Other | MI | MEDICARE PTAN |
| 0M96440 | Other | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 053408 (Michigan) | Primary |
| Provider Name | Kim M Almodovar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831160316 PECOS PAC ID: 7618031782 Enrollment ID: I20090204000492 |
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