MARIANA C PETROZZI (NPI# 1346260973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346260973 |
| Entity Type | Individual |
| Full Name | MARIANA C PETROZZI |
| Credential | MD |
| Practice Address |
3535 W 13 Mile Rd Suite 507 Royal Oak MI 48073-6770 |
| Mailing Address |
130 Town Center Dr Suite 203 Troy MI 48084-1744 |
| Practice Telephone | 2485510497 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35-076664 | OH | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4301111970 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 7853338 | 01 |
| OH | WELLCARE | 363911 | 01 |
| OH | UNISON | 000000224315 | 01 |
| OH | RAILROAD MEDICARE | P00427399 | 01 |
| OH | ANTHEM | 000000539513 | 01 |
| OH | RAILROAD MEDICARE | 290014924 | 01 |
| OH | BUCKEYE | 744749 | 01 |
| OH | 2328369 | 05 |
| Street Address |
3535 W 13 MILE RD SUITE 507 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6770 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144596883 | Christopher Deeb Dado | Internal Medicine | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2012-03-27 |
| 1295976645 | Kevin Rene Grullon | Internal Medicine | 3535 W 13 Mile Rd Ste 507, Royal Oak, MI 48073-6770 | 2009-03-16 |
| 1083877294 | Vishal K Patel | Internal Medicine | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2008-07-08 |
| 1417141896 | Girish Balachandran-nair | Internal Medicine | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2007-08-29 |
| 1356462279 | Paul Douglas Bozyk | Internal Medicine | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2007-04-02 |
| 1528008802 | Daniel T. Keena | Internal Medicine | 3535 W 13 Mile Rd, Suite 507, Royal Oak, MI 48073-6770 | 2006-06-07 |
| 1881654424 | K P. Ravikrishnan | Internal Medicine | 3535 W 13 Mile Rd, Ste. 507, Royal Oak, MI 48073-6710 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266563 | Woodhaven Specialists PC | Internal Medicine | 18600 Van Horn Road, Woodhaven, MI 48183-3828 | 2019-03-27 |
| 1023539913 | Yasir M M Farah | Internal Medicine | 37595 7 Mile Rd # 340, Livonia, MI 48152-1003 | 2017-06-29 |
| 1184078792 | Jon Jen Pllc | Internal Medicine | 6704 Country Club Ln, West Bloomfield, MI 48322-3972 | 2016-04-20 |
| 1861797144 | Asadulla Mohammed Md PC | Internal Medicine | 27901 Woodward Ave Ste 220, Berkley, MI 48072-0918 | 2011-01-19 |
| 1346553476 | Raminderjit Sekhon | Internal Medicine | 18181 Oakwood Blvd Ste 208, Dearborn, MI 48124-5031 | 2010-07-19 |
| 1881912517 | Amaraja Kanitkar | Internal Medicine | 3175 W. Professinal Drive, Mclaren Bay Pulmonology, Bay City, MI 48706 | 2010-05-05 |
| 1467682443 | Mihai Iliesiu | Internal Medicine | 27483 Dequindre Rd Ste 210, Madison Heights, MI 48071-5711 | 2009-07-23 |
| 1578710232 | Albert Naveed | Internal Medicine | 3950 Hollywood Rd Ste 280, Saint Joseph, MI 49085-9151 | 2008-08-25 |
| 1669636718 | Anthony Iacco | Internal Medicine | 22987 W 13 Mile Rd, Beverly Hills, MI 48025-4447 | 2008-07-17 |
| 1750545828 | Mohd Shaffi Kanjwal | Internal Medicine | 1015 S Washington Ave Ste D, Saginaw, MI 48601-2556 | 2008-07-17 |
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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.