| Michigan Physicians Group, PC | |
|
2905 12 Mile Rd Berkley MI 48072-1413 | |
| (248) 541-0770 | |
| (248) 541-6862 |
| Full Name | Michigan Physicians Group, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2905 12 Mile Rd, Berkley, Michigan |
| Authorized Official Name and Position | Dinesh Shah (PRESIDENT/OWNER) |
| Authorized Official Contact | 3135372107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Physicians Group, PC 26105 W 6 Mile Rd Redford MI 48240-2218 Ph: (313) 537-2107 | Michigan Physicians Group, PC 2905 12 Mile Rd Berkley MI 48072-1413 Ph: (248) 541-0770 |
| NPI Number | 1518041052 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 04/26/2012 |
| Medicare PECOS PAC ID | 5799682597 |
|---|---|
| Medicare Enrollment ID | O20031218000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518041052 | NPI | - | NPPES |
| 6388420001 | Other | NATIONAL SUPPLIER CLEARINGHOUSE/NSC PTAN | |
| 0F38290 | Other | MI | BCBSM LABORATORY |
| 0F36177 | Other | MI | BCBSM |
| 1518041052 | Medicaid | MI |
| Provider Name | David M Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437158185 PECOS PAC ID: 3173503786 Enrollment ID: I20040723000640 |
| Provider Name | Neelum Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811901309 PECOS PAC ID: 3072573823 Enrollment ID: I20041015000221 |
| Provider Name | Dinesh M Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184607129 PECOS PAC ID: 6002713807 Enrollment ID: I20080616000406 |
| Provider Name | Alka Yatrik Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952385072 PECOS PAC ID: 1254472624 Enrollment ID: I20100107000151 |
| Provider Name | Mary J Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952388654 PECOS PAC ID: 2466593843 Enrollment ID: I20100107000225 |
| Provider Name | Rita P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639156441 PECOS PAC ID: 4981745361 Enrollment ID: I20100107000245 |
| Provider Name | Jeffrey a Meer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497779144 PECOS PAC ID: 2961547807 Enrollment ID: I20100303000913 |
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