| Nizaamuddeen Toofanny Md Pllc | |
|
1380 Coolidge Hwy Suite 100 Troy MI 48084-7069 | |
| (248) 288-4000 | |
| (248) 288-3900 |
| Full Name | Nizaamuddeen Toofanny Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1380 Coolidge Hwy, Troy, Michigan |
| Authorized Official Name and Position | Nizaamuddeen Toofanny (OWNER) |
| Authorized Official Contact | 2485452131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nizaamuddeen Toofanny Md Pllc 1380 Coolidge Hwy Suite 100 Troy MI 48084-7069 Ph: (248) 288-4000 | Nizaamuddeen Toofanny Md Pllc 1380 Coolidge Hwy Suite 100 Troy MI 48084-7069 Ph: (248) 288-4000 |
| NPI Number | 1245482462 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Medicare PECOS PAC ID | 2163586645 |
|---|---|
| Medicare Enrollment ID | O20090128000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245482462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nizaamudeen Toofanny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891755997 PECOS PAC ID: 4981768462 Enrollment ID: I20090128000175 |
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