| Raad P. Kasmikha, M.d., P.c. | |
|
1498 Walton Blvd Rochester Hills MI 48309-1739 | |
| (248) 652-1365 | |
| (248) 652-1042 |
| Full Name | Raad P. Kasmikha, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1498 Walton Blvd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Raad P Kasmikha (OWNER/ PRESIDENT) |
| Authorized Official Contact | 2486521365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raad P. Kasmikha, M.d., P.c. 1498 Walton Blvd Rochester Hills MI 48309-1739 Ph: (248) 652-1365 | Raad P. Kasmikha, M.d., P.c. 1498 Walton Blvd Rochester Hills MI 48309-1739 Ph: (248) 652-1365 |
| NPI Number | 1396900411 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Medicare PECOS PAC ID | 7719046184 |
|---|---|
| Medicare Enrollment ID | O20081030000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396900411 | NPI | - | NPPES |
| 3322358 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301057587 (Michigan) | Primary |
| Provider Name | Raad P Kasmikha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558330332 PECOS PAC ID: 9638148604 Enrollment ID: I20060911000111 |
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