| Michigan Medical Doctors Pllc | |
|
1380 Coolidge Hwy Suite 100 Troy MI 48084-7018 | |
| (248) 288-4000 | |
| (248) 288-3900 |
| Full Name | Michigan Medical Doctors Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1380 Coolidge Hwy, Troy, Michigan |
| Authorized Official Name and Position | James C Mackenzie (OWNER) |
| Authorized Official Contact | 2482884000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Medical Doctors Pllc 1380 Coolidge Hwy Suite 100 Troy MI 48084-7018 Ph: (248) 288-4000 | Michigan Medical Doctors Pllc 1380 Coolidge Hwy Suite 100 Troy MI 48084-7018 Ph: (248) 288-4000 |
| NPI Number | 1447302971 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/23/2013 |
| Medicare PECOS PAC ID | 2961462320 |
|---|---|
| Medicare Enrollment ID | O20041012000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447302971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lakshmi C Palakurthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124137203 PECOS PAC ID: 7911992649 Enrollment ID: I20040421000118 |
| Provider Name | James C Mackenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548251168 PECOS PAC ID: 8123088580 Enrollment ID: I20041013000970 |
| Provider Name | Ayman Rayes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053302612 PECOS PAC ID: 5092729533 Enrollment ID: I20060203000290 |
| Provider Name | Anthony Adegboyega Adeleye |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275552655 PECOS PAC ID: 3274443296 Enrollment ID: I20070404000034 |
| Provider Name | Ganapathy K Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801873146 PECOS PAC ID: 5799886594 Enrollment ID: I20070724000285 |
| Provider Name | Ratnavalli V Pasupulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831394873 PECOS PAC ID: 3274624283 Enrollment ID: I20070806000523 |
| Provider Name | Amro R Sheta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053578542 PECOS PAC ID: 4284894288 Enrollment ID: I20120329000150 |
| Provider Name | Shivani Sharma |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386872299 PECOS PAC ID: 5991858805 Enrollment ID: I20131121000609 |
| Provider Name | Abhilasha Pandey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598053415 PECOS PAC ID: 0941510366 Enrollment ID: I20151113001373 |
| Provider Name | Ragad Asmaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790187748 PECOS PAC ID: 7719223080 Enrollment ID: I20200929002221 |
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