Muksi, Llc | |
3404 Warwick Dr Rochester Hills MI 48309-4707 | |
(734) 462-0340 | |
(734) 462-0344 |
Full Name | Muksi, Llc |
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Speciality | Family Medicine |
Location | 3404 Warwick Dr, Rochester Hills, Michigan |
Authorized Official Name and Position | Munzer Samad (SOLE MEMBER) |
Authorized Official Contact | 2489357976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Muksi, Llc 3404 Warwick Dr Rochester Hills MI 48309-4707 Ph: (734) 462-0340 | Muksi, Llc 3404 Warwick Dr Rochester Hills MI 48309-4707 Ph: (734) 462-0340 |
NPI Number | 1003084492 |
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Provider Enumeration Date | 02/19/2008 |
Last Update Date | 02/19/2008 |
Medicare PECOS PAC ID | 3072692946 |
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Medicare Enrollment ID | O20080502000445 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003084492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301061568 (Michigan) | Primary |
Provider Name | Munzer Samad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972581908 PECOS PAC ID: 9739168006 Enrollment ID: I20040719001478 |
Provider Name | Jennifer M Legge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801101159 PECOS PAC ID: 5597947721 Enrollment ID: I20110309000927 |
Provider Name | Victoria D Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417361502 PECOS PAC ID: 4688891450 Enrollment ID: I20140821000718 |
Provider Name | Zohra J Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609043421 PECOS PAC ID: 6901115500 Enrollment ID: I20151022000385 |
Provider Name | Deniene D King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093107948 PECOS PAC ID: 1153631692 Enrollment ID: I20151112001155 |
Provider Name | Kimberly Nicole Tharp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255858833 PECOS PAC ID: 8921366469 Enrollment ID: I20171211001730 |
Provider Name | Tonya Lee Richards |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376050096 PECOS PAC ID: 7618231689 Enrollment ID: I20180430001042 |
Provider Name | Stacey Van Dike |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437670262 PECOS PAC ID: 5092051599 Enrollment ID: I20190103001835 |
Provider Name | Madonna Roby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184197246 PECOS PAC ID: 9234470931 Enrollment ID: I20190405002191 |
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