| Madison Internists P C | |
|
27483 Dequindre Rd Suite 202 Madison Hts MI 48071-3491 | |
| (248) 542-2229 | |
| (248) 542-2226 |
| Full Name | Madison Internists P C |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 27483 Dequindre Rd, Madison Hts, Michigan |
| Authorized Official Name and Position | Shakeela Shakoor (OWNER) |
| Authorized Official Contact | 2487979063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Internists P C 3120 Carpenter St Suite 209 Hamtramck MI 48212-9802 Ph: (313) 891-5437 | Madison Internists P C 27483 Dequindre Rd Suite 202 Madison Hts MI 48071-3491 Ph: (248) 542-2229 |
| NPI Number | 1962699843 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962699843 | NPI | - | NPPES |
| 4998578 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301078037 (Michigan) | Primary |