EKAMOL TANTISATTAMO


Address: 3535 W 13 Mile Rd, # 644, Royal Oak, MI 48073-6770
Phone: 2485512594

EKAMOL TANTISATTAMO (NPI# 1104053024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104053024
Entity Type Individual
Full Name EKAMOL TANTISATTAMO
Practice Address 3535 W 13 Mile Rd
# 644
Royal Oak
MI 48073-6770
Mailing Address 4804 Woodland Ave
Apt 109
Royal Oak
MI 48073-1443
Practice Telephone 2485512594
Mailing Telephone 8083512596
Enumeration Date 2009-06-18
Last Update Date 2015-09-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 5680 HI Allopathic & Osteopathic Physicians

Office Location

Street Address 3535 W 13 MILE RD
# 644
City ROYAL OAK
State MI
Zip Code 48073-6770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750376877 M Bassem Hosein Dekelbab Pediatrics 3535 W 13 Mile Rd, 707, Royal Oak, MI 48073-6770 2005-09-14
1639788029 Moyosoreoluwa Morenike Laditan Internal Medicine 3535 W 13 Mile Rd, Medical Office Building, Suite Ll-35, Royal Oak, MI 48073-6770 2020-07-30
1952928780 Julie Katia Morin-major Pediatrics 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 2020-06-27
1336763382 Reem Wassef Pediatrics 3535 W 13 Mile Rd, Royal Oak, MI 48073 2020-06-05
1942824271 Ji Won Lee Pediatrics 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 2020-06-02
1285257030 Michael Maiden Pediatrics 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 2020-05-27
1821611922 Maria Kathryn Souphis Pediatrics 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 2020-05-22
1710509393 Yoshiko Nito Pediatrics 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 2020-05-18
1699397547 Ashbina Pokharel Internal Medicine 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 2020-05-14
1720609746 Geoffrey M Saham Pllc Internal Medicine 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 2020-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306114 Spine and Joint Surgical Institute of Michigan, LLC Clinic/Center 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 2020-08-11
1528679081 Activo Physical Therapy, LLC Clinic/Center 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 2020-08-10
1265057624 Olga Romina Gomez Rojas Internal Medicine 3607 W 13 Mile Rd, Royal Oak, MI 48073 2020-06-11
1598389785 Devika Aggarwal Internal Medicine 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 2020-06-03
1831713064 Michael Morelli Physical Medicine & Rehabilitation Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 2020-06-03
1134741895 Kamil Sardarli Internal Medicine Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 2020-05-15
1245850171 Dema Fawaz Emergency Medicine Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 2020-04-21
1235771049 Semaan Dentistry Pllc Dentist 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 2019-10-14
1013560473 Muhammad Waqas Pediatrics Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 2019-07-24
1346804135 Matthew M Astolfi Orthopaedic Surgery 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 2019-04-26
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265057624 Olga Romina Gomez Rojas Internal Medicine 3607 W 13 Mile Rd, Royal Oak, MI 48073 2020-06-11
1598389785 Devika Aggarwal Internal Medicine 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 2020-06-03
1134741895 Kamil Sardarli Internal Medicine Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 2020-05-15
1114583523 Justin Armstrong Internal Medicine 3601 W 13 Mile Rd # Mi, Royal Oak, MI 48073-6712 2019-05-13
1780183186 Md Regeneration, Pllc Internal Medicine 333 W 7th St Ste 100, Royal Oak, MI 48067-2510 2018-02-12
1356862536 Ashley Lane Richardson Internal Medicine 1816 Dallas Ave, Royal Oak, MI 48067-3575 2017-06-28
1194179911 Narayana Rao Gandham Internal Medicine 3535 W 13 Mile Rd Ste 502, Royal Oak, MI 48073-6770 2016-04-18
1669741575 Benjamin Mishra Internal Medicine 1719 Gardenia Ave Apt 305, Royal Oak, MI 48067-2137 2011-12-21
1295046613 Matthew Lawrence Ott Internal Medicine 3123 Coolidge Hwy, Apt. #132, Royal Oak, MI 48073-6852 2010-06-30
1518285451 Jamal Abu-khaled Internal Medicine 3535 W 13 Mile Rd Ste 247, Royal Oak, MI 48073-6770 2010-05-16
Find all providers in ROYAL OAK

Competitor

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City ROYAL OAK
Zip Code 48073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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