DR WALA MEDICAL CLINIC PLC (NPI# 1548607039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548607039 |
Entity Type | Organization |
Organization Name | DR WALA MEDICAL CLINIC PLC |
Other Organization Name | DR WALA CLINIC |
Practice Address |
106 S Lowe St Dowagiac MI 49047-1624 |
Mailing Address |
14360 Wynstone Ct Granger IN 46530-4202 |
Practice Telephone | 5743359177 |
Mailing Telephone | 5743359177 |
Enumeration Date | 2013-05-24 |
Last Update Date | 2013-05-24 |
Authorized Official Name | DR. MOHAMMED AMJAD RANGINWALA (OWNER) |
Authorized Official Telephone | 5743359177 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4301088022 | MI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Dr Wala Clinic | Other Name - Individual/Organization |
Street Address |
106 S LOWE ST |
City | DOWAGIAC |
State | MI |
Zip Code | 49047-1624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598701740 | Mohammad S Zaman | Surgery | 106 S Lowe St, Dowagiac, MI 49047-0528 | 2006-06-22 |
1154480994 | Mohammed Amjad Ranginwala | Internal Medicine | 106 S Lowe St, Dowagiac, MI 49047-1624 | 2006-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497149124 | Karianne Ely | Specialist/Technologist | 92407 Center Dr, Dowagaic, MI 49047 | 2015-03-19 |
1669786257 | Pokagon Band of Potawatomi Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 32652 Kno Dr, Dowagiac, MI 49047 | 2010-08-06 |
1851619332 | Paddington Healthcare of Michigan LLC | Skilled Nursing Facility | 55432 Colby Street, Dowagiac, MI 49047 | 2010-05-10 |
1649502592 | Dowagiac Surgery PC | Surgery | 106 South Lowe St, Dowagiac, MI 49047 | 2010-02-03 |
1134336605 | Stephanie Lynn Munson | Specialist/Technologist | 29650 M62 W, Dowagiac, MI 49047 | 2007-05-16 |
1689705444 | Michael R Dewitt | Pharmacist | 56151 M51 South, Dowagiac, MI 49047 | 2007-03-07 |
1225185705 | Pokagon Band of Potawatomi Indians | Dietitian, Registered | 32652 Kno, Dowagiac, MI 49047 | 2007-01-05 |
1588726517 | Lee Memorial Hospital Corporation | Clinic/Center | 67892 M-152, Dowagiac, MI 49047 | 2006-12-15 |
1326156332 | Megan Lynne Foote | Pharmacist | 56151 M-51, Dowagiac, MI 49047 | 2006-08-29 |
1467567057 | Jonathan Wade Gillesby | Dentist | 530 Riverside Drive, Dowagiac, MI 49047 | 2006-08-21 |
Find all providers in zip 49047 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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.