Kakos, Brandon Sam

Kakos, Brandon Sam is an sole proprietor health care provider with primary practice located at 28300 Orchard Lake Rd Ste 200 , Farmington Hills MI 48334-3704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kakos, Brandon Sam can be contacted via phone (248) 539-8638.

Contact Information

Primary practice address
28300 Orchard Lake Rd Ste 200 Farmington Hills MI 48334-3704
Phone: (248) 539-8638
Fax: (248) 539-9045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35098143 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 4301109849 Michigan

Profile Details

NPI number 1366677437
LBN Legal business name Kakos, Brandon Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2009
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366677437 NPPES
Michigan MEDICAID 1366677437

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