| Macomb Internal Medicine PC | |
|
15520 19 Mile Rd Suite 480 Clinton Twp MI 48038-6333 | |
| (586) 228-1010 | |
| (586) 228-8570 |
| Full Name | Macomb Internal Medicine PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 15520 19 Mile Rd, Clinton Twp, Michigan |
| Authorized Official Name and Position | Mary Gunst (OFFICE MANAGER) |
| Authorized Official Contact | 5862281010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Internal Medicine PC 15520 19 Mile Rd Suite 480 Clinton Twp MI 48038-6333 Ph: (586) 228-1010 | Macomb Internal Medicine PC 15520 19 Mile Rd Suite 480 Clinton Twp MI 48038-6333 Ph: (586) 228-1010 |
| NPI Number | 1639266885 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Medicare PECOS PAC ID | 2961468723 |
|---|---|
| Medicare Enrollment ID | O20041203000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639266885 | NPI | - | NPPES |
| 1639266885 | Medicaid | MI | |
| 110E07884 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RN0300X | Internal Medicine - Nephrology | () | Secondary |
| Provider Name | Nina H Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417968827 PECOS PAC ID: 2961444195 Enrollment ID: I20050527000319 |
| Provider Name | Linda Lu R Kosal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477765832 PECOS PAC ID: 0244324903 Enrollment ID: I20070926000193 |
| Provider Name | Anu Duvoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528089497 PECOS PAC ID: 8729086608 Enrollment ID: I20080731000721 |
| Provider Name | Joseph W Kaiser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295730471 PECOS PAC ID: 6901864008 Enrollment ID: I20101115001253 |
| Provider Name | Sanjay a Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467459180 PECOS PAC ID: 7810955911 Enrollment ID: I20101118000668 |
| Provider Name | Harjeet Singh Jhajj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548557440 PECOS PAC ID: 5799908851 Enrollment ID: I20140519001908 |
| Provider Name | Tara Victoria Nelson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598053340 PECOS PAC ID: 9133445398 Enrollment ID: I20150305000918 |
| Provider Name | Shadi Bashour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710298153 PECOS PAC ID: 9537479613 Enrollment ID: I20170601000126 |
Catholic Services of Macomb Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15945 Canal Rd, Clinton Twp, MI 48038 Phone: 586-416-2300 Fax: 586-416-2300 |
Eastpointe Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42536 Hayes Rd, Suite 100, Clinton Twp, MI 48038 Phone: 586-286-9644 Fax: 586-286-9647 |
Partridge Family Physicians PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43201 Commons Drive, Clinton Twp, MI 48038 Phone: 586-228-0780 Fax: 586-228-1809 |
Sterling Internal Medicine PLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 810-394-3237 Fax: 586-254-3872 |
Reynold M John, MD, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43171 Dalcoma Dr Ste 6, Clinton Twp, MI 48038 Phone: 586-286-1163 |
Manaf Madoun MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35740 Harper Ave, Clinton Twp, MI 48035 Phone: 586-790-2909 |