| Rochester Family Medicine Pc | |
|
1308 W Auburn Rd Rochester Hills MI 48309-4386 | |
| (248) 915-5949 | |
| Not Available |
| Full Name | Rochester Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1308 W Auburn Rd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Tahera Azharuddin (PRESIDENT) |
| Authorized Official Contact | 2489155949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Family Medicine Pc 1308 W Auburn Rd Rochester Hills MI 48309-4386 Ph: () - | Rochester Family Medicine Pc 1308 W Auburn Rd Rochester Hills MI 48309-4386 Ph: (248) 915-5949 |
| NPI Number | 1538590583 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/02/2013 |
| Medicare PECOS PAC ID | 4385872118 |
|---|---|
| Medicare Enrollment ID | O20140124000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538590583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301089681 (Michigan) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 4301089681 (Michigan) | Secondary |
| Provider Name | Tahera Azharuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720265754 PECOS PAC ID: 4981849270 Enrollment ID: I20130313000473 |
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