Joram O Mogaka Md Pc

LBN: Joram O Mogaka Md Pc
Joram O Mogaka Md Pc is an health care organization with primary practice located at 21409 Kelly Rd Suite 400, Eastpointe MI 48021-3264. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Joram O Mogaka Md Pc can be contacted via phone (586) 777-0630, or through Mogaka, Joram O via phone (586) 777-0630.

Contact Information

Primary practice address
21409 Kelly Rd Suite 400 Eastpointe MI 48021-3264
Phone: (586) 777-0630
Fax: (586) 777-0631
Website:
Map and Directions
Authorized official contact:
Name: Mogaka, Joram O MD PC
Phone: (586) 777-0630

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1861434136
LBN Legal business name Joram O Mogaka Md Pc
DBA Doing business as
Authorized official Mogaka, Joram O MD PC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 10th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861434136 NPPES
Michigan Other 1255407631 INDIVUDAL NPI NUMBER
Michigan Other 1108235572 INDIVUDAL NPI NUMBER
Michigan Other 1205126216 INDIVUDAL NPI NUMBER
Michigan Other 1861434136 INDIVUDAL NPI NUMBER
Michigan MEDICAID 472234510 INDIVUDAL NPI NUMBER
Michigan Other 700H271450 INDIVUDAL NPI NUMBER

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