| Oakland Physicians Medical Center, Llc | |
|
461 West Huron Street Pontiac MI 48341 | |
| (248) 857-7200 | |
| (248) 857-6842 |
| Full Name | Oakland Physicians Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 461 West Huron Street, Pontiac, Michigan |
| Authorized Official Name and Position | Timothy Jodway (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2488577200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Physicians Medical Center, Llc 461 West Huron Street Pontiac MI 48341 Ph: (248) 857-7200 | Oakland Physicians Medical Center, Llc 461 West Huron Street Pontiac MI 48341 Ph: (248) 857-7200 |
| NPI Number | 1497906010 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 09/08/2017 |
| Medicare PECOS PAC ID | 7416024187 |
|---|---|
| Medicare Enrollment ID | O20090120000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497906010 | NPI | - | NPPES |
| 5435510 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nikhil K Hemady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457441461 PECOS PAC ID: 8729076591 Enrollment ID: I20040503000514 |
| Provider Name | Theresa D Stanton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538109244 PECOS PAC ID: 7810800174 Enrollment ID: I20040824001052 |
| Provider Name | Julia M Aharonov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487619623 PECOS PAC ID: 0143272526 Enrollment ID: I20050214000672 |
| Provider Name | Junaed U Haq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341868 PECOS PAC ID: 4385796879 Enrollment ID: I20090714000521 |
| Provider Name | Mohamed Galal Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861566598 PECOS PAC ID: 4284617663 Enrollment ID: I20150918000109 |
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