MID MICHIGAN DIAGNOSTIC CORP (NPI# 1285800417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285800417 |
| Entity Type | Organization |
| Organization Name | MID MICHIGAN DIAGNOSTIC CORP |
| Other Organization Name | MID MICHIGAN DIAGNOSTICS |
| Practice Address |
1309 S Linden Rd Ste A Flint MI 48532-3443 |
| Practice Telephone | 8106060656 |
| Practice Fax Number | 8106060662 |
| Mailing Telephone | 8106060656 |
| Mailing Fax Number | 8106060662 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MR. ZAKWAN ABOUDANE (MANAGER) |
| Authorized Official Telephone | 8106060656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
4301084975 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
KH072133 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104809895 | 05 | |
| MI | 105207154 | 05 |
| Other Name | Type Code |
|---|---|
| Mid Michigan Diagnostics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800822 | Mid Michigan Diagnostic Corp | Internal Medicine | 1309 S Linden Rd Ste A, Flint, MI 48532-3443 | 2006-06-16 |
| 1093962342 | Mid Michigan Diagnostic Corp | Radiology | 1513 S Center Rd, Burton, MI 48509-1728 | 2008-08-19 |
| 1134375611 | Mid Michigan Diagnostic Corp | Internal Medicine | 3323 Shattuck Rd, Saginaw, MI 48603-3184 | 2008-08-15 |
| 1306092887 | Mid Michigan Diagnostic Corp | Internal Medicine | 2137 W M 61, Gladwin, MI 48624-8463 | 2008-08-15 |
| 1760638241 | Mid Michigan Diagnostic Corp | Radiology | 3400 Fleckenstein Rd, Suite D, Flint, MI 48507-3043 | 2008-08-15 |
| Street Address |
1309 S LINDEN RD STE A |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800822 | Mid Michigan Diagnostic Corp | Internal Medicine | 1309 S Linden Rd Ste A, Flint, MI 48532-3443 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053552679 | Aniel Qadir Majjhoo | Psychiatry & Neurology | 401 S Ballenger Hwy Ste 3n, Mclaren Regional Medical Center, Flint, MI 48532-3638 | 2009-03-11 |
| 1205984457 | Ramesh Lakhamshi Chheda | Psychiatry & Neurology | 5154 Miller Rd, Suit I, Flint, MI 48507-1065 | 2007-01-06 |
| 1336241082 | Mohamed Nael Tarakji | Psychiatry & Neurology | 5082 Villa Linde Pkwy, Flint, MI 48532-3411 | 2006-09-02 |
| 1679910608 | Amouaz Sbei | Psychiatry & Neurology | 5082 Villa Linde Pkwy, Flint, MI 48532-3411 | 2013-05-31 |
| 1154650372 | D.v. Pasupuleti, Md and Associates, P.C. | Psychiatry & Neurology | 2370 S Linden Rd, Flint, MI 48532-5424 | 2009-12-17 |
| 1033386545 | Flint Neuroscience Center, Pllc | Psychiatry & Neurology | G3239 Beecher Rd, Suite C, Flint, MI 48532-3616 | 2008-05-14 |
| 1164606976 | Sunita Tummala Md Plc | Psychiatry & Neurology | 5084 W Pierson Rd, Flint, MI 48504-1390 | 2007-12-28 |
| 1467645317 | Boike Medical Services Pllc | Psychiatry & Neurology | 3939 Beecher Rd, Flint, MI 48532-3602 | 2007-08-23 |
| 1528284866 | Faisal Imtiaz Ahmad | Psychiatry & Neurology | 5082 Villa Linde Pkwy, Flint, MI 48532-3411 | 2007-04-17 |
| 1568537207 | Sunita Tummala | Psychiatry & Neurology | 5084 W Pierson Rd, Flint, MI 48504-1390 | 2006-11-21 |
| Find all providers in FLINT | ||||
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| 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.