| Mohamed Ally Health Plaza Pllc | |
| 
					387 N State Rd Ste A Otisville MI 48463-9503  | |
| (810) 631-4060 | |
| Not Available | 
| Full Name | Mohamed Ally Health Plaza Pllc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 387 N State Rd, Otisville, Michigan | 
| Authorized Official Name and Position | Naveed Mahfooz (OWNER) | 
| Authorized Official Contact | 8106314060 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mohamed Ally Health Plaza Pllc 3061 Christy Way Saginaw MI 48603-2224 Ph: (989) 791-2455  | Mohamed Ally Health Plaza Pllc 387 N State Rd Ste A Otisville MI 48463-9503 Ph: (810) 631-4060  | 
| NPI Number | 1891103784 | 
|---|---|
| Provider Enumeration Date | 07/24/2014 | 
| Last Update Date | 07/24/2014 | 
| Medicare PECOS PAC ID | 1052538006 | 
|---|---|
| Medicare Enrollment ID | O20140814001697 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891103784 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | NMO59644 (Michigan) | Primary | 
| Provider Name | Naveed Mahfooz | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1780639450 PECOS PAC ID: 9830158609 Enrollment ID: I20050606000749  | 
| Provider Name | Imran Mir | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1467628388 PECOS PAC ID: 3072688688 Enrollment ID: I20080815000684  | 
| Provider Name | Hilda Mbidzo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174968531 PECOS PAC ID: 2264673565 Enrollment ID: I20130730000248  | 
| Provider Name | Heidi R Rethman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861839649 PECOS PAC ID: 6800028994 Enrollment ID: I20140403000885  | 
| Provider Name | Theresa I Jensen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639569916 PECOS PAC ID: 5496075939 Enrollment ID: I20150522001359  | 
| Provider Name | Steven A Holman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1851718399 PECOS PAC ID: 0345540134 Enrollment ID: I20151201000656  | 
| Provider Name | Jonathan W Hollis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205298262 PECOS PAC ID: 7719285378 Enrollment ID: I20160414000968  | 
| Provider Name | Diane Palm | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376079426 PECOS PAC ID: 9234496977 Enrollment ID: I20171205001034  | 
| Provider Name | Krista Marie Heckert | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1306333927 PECOS PAC ID: 4385908276 Enrollment ID: I20180430002657  | 
| Provider Name | Mary Nelson Sabo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942791074 PECOS PAC ID: 1052667227 Enrollment ID: I20180629001453  | 
| Provider Name | Lori Jane Jones | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760946495 PECOS PAC ID: 6507104320 Enrollment ID: I20190220001731  | 
| Provider Name | Rabeea Mirza | 
|---|---|
| Provider Type | Practitioner - Rheumatology | 
| Provider Identifiers | NPI Number: 1679993216 PECOS PAC ID: 3577866649 Enrollment ID: I20190531000026  | 
| Provider Name | Rachel Lynn Curtis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639636996 PECOS PAC ID: 7315273380 Enrollment ID: I20190729002891  | 
| Provider Name | Ashley R Tolliver | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578348322 PECOS PAC ID: 8820444185 Enrollment ID: I20231024001400  | 
| Provider Name | Zahid Mahmood | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1740805464 PECOS PAC ID: 3072950286 Enrollment ID: I20240325000242  | 
George Mohamedally Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 North State, Otisville, MI 48463 Phone: 810-631-4060 Fax: 810-631-4101  |