| Maan Ekkah, Md, Pc | |
|
4848 Adams Pointe Ct Troy MI 48098-4111 | |
| (248) 925-0948 | |
| Not Available |
| Full Name | Maan Ekkah, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4848 Adams Pointe Ct, Troy, Michigan |
| Authorized Official Name and Position | Maan Ekkah (OWNER) |
| Authorized Official Contact | 2489250948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maan Ekkah, Md, Pc 4848 Adams Pointe Ct Troy MI 48098-4111 Ph: (248) 925-0948 | Maan Ekkah, Md, Pc 4848 Adams Pointe Ct Troy MI 48098-4111 Ph: (248) 925-0948 |
| NPI Number | 1114484540 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 3870832785 |
|---|---|
| Medicare Enrollment ID | O20190311001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114484540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mark H Richter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659456523 PECOS PAC ID: 3971599853 Enrollment ID: I20040424000338 |
| Provider Name | Imad M Mansoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883082 PECOS PAC ID: 0446330955 Enrollment ID: I20080109000220 |
| Provider Name | Shelly M Oles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255568523 PECOS PAC ID: 9830387307 Enrollment ID: I20101228000306 |
| Provider Name | Maan Ekkah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962632042 PECOS PAC ID: 3678707593 Enrollment ID: I20131009000364 |
| Provider Name | Lindsey Chevrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588177919 PECOS PAC ID: 4587902176 Enrollment ID: I20190206000828 |
| Provider Name | Zahra Alami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811425184 PECOS PAC ID: 1254603418 Enrollment ID: I20200317002197 |
| Provider Name | Briahnnon Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598364911 PECOS PAC ID: 3779993233 Enrollment ID: I20201112000590 |
| Provider Name | Shannon Brzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891575106 PECOS PAC ID: 9931542768 Enrollment ID: I20240208003682 |
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