| Mdslivenow PLLC | |
|
4100 Woodward Ave Detroit MI 48201-2173 | |
| (313) 974-6533 | |
| Not Available |
| Full Name | Mdslivenow PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Hassan Bazzi (MANAGER) |
| Authorized Official Contact | 3132314716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdslivenow PLLC 6473 Chase Rd Dearborn MI 48126-2138 | Mdslivenow PLLC 4100 Woodward Ave Detroit MI 48201-2173 Ph: (313) 974-6533 |
| NPI Number | 1215688965 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Medicare PECOS PAC ID | 7214323336 |
|---|---|
| Medicare Enrollment ID | O20220329002421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215688965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Zakari Mohammed Tata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871591313 PECOS PAC ID: 9436049806 Enrollment ID: I20040318001713 |
| Provider Name | Latha T Kannan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528015427 PECOS PAC ID: 4981685146 Enrollment ID: I20040525001278 |
| Provider Name | Surya C Nallani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801838651 PECOS PAC ID: 1254364680 Enrollment ID: I20050915000444 |
| Provider Name | Anthony F Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477763878 PECOS PAC ID: 9335234251 Enrollment ID: I20071005000707 |
| Provider Name | Hassan a Bazzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457507006 PECOS PAC ID: 7214002039 Enrollment ID: I20080813000626 |
| Provider Name | Elena Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598946782 PECOS PAC ID: 0244380731 Enrollment ID: I20090603000467 |
| Provider Name | Kimberly M Farrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982930038 PECOS PAC ID: 5294983110 Enrollment ID: I20120919000329 |
| Provider Name | Lori Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699033548 PECOS PAC ID: 2668625104 Enrollment ID: I20130110000621 |
| Provider Name | June Eileen Argel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871037903 PECOS PAC ID: 2365724747 Enrollment ID: I20170119000939 |
| Provider Name | Layla Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114471208 PECOS PAC ID: 8325308893 Enrollment ID: I20180131001796 |
| Provider Name | Saleh M Al-ameen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829873 PECOS PAC ID: 7618286469 Enrollment ID: I20180731002790 |
| Provider Name | Iman Fayak Ismail |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629541131 PECOS PAC ID: 3072850775 Enrollment ID: I20190201001846 |
| Provider Name | Chadius M Milton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124508122 PECOS PAC ID: 5698014314 Enrollment ID: I20190225001495 |
| Provider Name | Ousman Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932677614 PECOS PAC ID: 8022357763 Enrollment ID: I20190225001995 |
| Provider Name | Ogechi Nita Enyioko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285191254 PECOS PAC ID: 9739428632 Enrollment ID: I20190311001052 |
| Provider Name | Pauline Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447713177 PECOS PAC ID: 3971845355 Enrollment ID: I20190506000745 |
| Provider Name | Fares N Mubarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831753466 PECOS PAC ID: 4688917305 Enrollment ID: I20190521002932 |
| Provider Name | Amy Nicole Meints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235602434 PECOS PAC ID: 8325371404 Enrollment ID: I20190604002321 |
| Provider Name | Dalal G. Kassir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477081685 PECOS PAC ID: 6608144365 Enrollment ID: I20200721003365 |
| Provider Name | Mahmoud Kassir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588154322 PECOS PAC ID: 2769747138 Enrollment ID: I20210616001091 |
| Provider Name | Leika Raychouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083108617 PECOS PAC ID: 2466796628 Enrollment ID: I20210804002807 |
| Provider Name | Amber Bourque |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619546405 PECOS PAC ID: 4082010269 Enrollment ID: I20210914001648 |
| Provider Name | Mohamed M Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558890277 PECOS PAC ID: 3577832245 Enrollment ID: I20211229000382 |
| Provider Name | Linda I Hadous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649733965 PECOS PAC ID: 0749681187 Enrollment ID: I20220215001219 |
| Provider Name | Yuliya Ostapenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366976128 PECOS PAC ID: 3779967500 Enrollment ID: I20220829001364 |
| Provider Name | Taylor Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861158115 PECOS PAC ID: 5395121461 Enrollment ID: I20220928000622 |
| Provider Name | Dima Elhorr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194448183 PECOS PAC ID: 9133598766 Enrollment ID: I20221203000065 |
| Provider Name | Hanan G Bazzi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396189718 PECOS PAC ID: 1951603877 Enrollment ID: I20221214001413 |
| Provider Name | Robin Lynn Kuiper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851009492 PECOS PAC ID: 2466823422 Enrollment ID: I20230130002287 |
| Provider Name | Batoul K Baidoun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255994612 PECOS PAC ID: 0840524286 Enrollment ID: I20230407000507 |
| Provider Name | Jacob Nathaniel Hirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063953099 PECOS PAC ID: 9830528561 Enrollment ID: I20230407000753 |
| Provider Name | Merajuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114389210 PECOS PAC ID: 6002145976 Enrollment ID: I20230411000193 |
| Provider Name | Sukhwinder Kaur Pabla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871226043 PECOS PAC ID: 9234594557 Enrollment ID: I20230420000921 |
| Provider Name | Corie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104352582 PECOS PAC ID: 0941577456 Enrollment ID: I20230508000469 |
| Provider Name | Samir Musleh Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033803127 PECOS PAC ID: 9537526231 Enrollment ID: I20230612003097 |
| Provider Name | Ashraf Abouarabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831883446 PECOS PAC ID: 3678933132 Enrollment ID: I20230714002696 |
| Provider Name | Kristina Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558986984 PECOS PAC ID: 8820451891 Enrollment ID: I20230824002023 |
| Provider Name | Noveen Rehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831883420 PECOS PAC ID: 5799123329 Enrollment ID: I20240402002675 |
| Provider Name | Alieu Essa Jallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497520480 PECOS PAC ID: 0042651036 Enrollment ID: I20240508001121 |
| Provider Name | Hassan Awada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225528649 PECOS PAC ID: 8325393820 Enrollment ID: I20240516001567 |
| Provider Name | Ayman Mohamed Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164059796 PECOS PAC ID: 9830511518 Enrollment ID: I20240520003484 |
| Provider Name | Sana Amir |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407629298 PECOS PAC ID: 9739521345 Enrollment ID: I20240529000766 |
| Provider Name | Mohamed Bazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043185093 PECOS PAC ID: 8123519238 Enrollment ID: I20251117003650 |
| Provider Name | Sawsan Talib Edriss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194309864 PECOS PAC ID: 7719387190 Enrollment ID: I20260107001921 |
Central City Health (cherry Health) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8333 Townsend St, Detroit, MI 48213 Phone: 313-831-3160 |
Smith Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235 Phone: 313-535-0900 Fax: 313-535-3810 |
St. John Hospital and Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 |
Chass Mack Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3426 Mack Avenue, Detroit, MI 48207 Phone: 313-849-3920 |
Soulstead Valorgrid Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14700 Tireman St Apt 2, Detroit, MI 48228 Phone: 313-439-0442 |
Health Care Medical Center PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17141 Hayes St, Detroit, MI 48205 Phone: 313-245-1700 Fax: 313-245-1701 |