DR. BRENDA UBOM (NPI# 1689840472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689840472 |
| Entity Type | Individual |
| Full Name | DR. BRENDA UBOM |
| Credential | D.O. |
| Practice Address |
3001 Miller Rd Dearborn MI 48120-1458 |
| Mailing Address |
24410 Santa Barbara St Southfield MI 48075-6813 |
| Practice Telephone | 3133230045 |
| Practice Fax Number | 3138454626 |
| Mailing Telephone | 2485599286 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101007548 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3001 MILLER RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245429927 | Miranda Filicity Martin | Physical Therapist | 3001 Miller Rd, Dearborn, MI 48120-1458 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1356886303 | Samatha Lee Stone | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120 | 2016-12-29 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| Find all providers in zip 48120 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932524337 | Marilyn Lasovage | General Practice | 24911 Newton St, Dearborn, MI 48124-1557 | 2014-02-22 |
| 1821374257 | Daniel C Harris | General Practice | 3326 Syracuse St, Dearborn, MI 48124-3320 | 2011-10-31 |
| 1700171725 | Orthopedic PC | General Practice | 24155 Penn State, Dearborn, MI 48124 | 2011-06-17 |
| 1114125382 | Patricia A Bermudez | General Practice | 1315 Robindale Ave, Dearborn, MI 48128-1012 | 2007-07-10 |
| 1598989238 | Jesus A Martinez Md PC | General Practice | 2012 Monroe Blvd Suite 104, Dearborn, MI 48124 | 2007-04-12 |
| 1255427472 | Fares Fehmi Yasin | General Practice | 4634 Greenfield Rd, Dearborn, MI 48126-2844 | 2006-10-05 |
| 1629018296 | Sardar Asim Zaman | General Practice | 6434 Mead St, Dearborn, MI 48126-2042 | 2006-06-08 |
| 1619947819 | Sai Lakshmi Kanneganti | General Practice | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2006-01-23 |
| 1306329651 | Chc Medical Group | General Practice | 10326 W Warren Ave, Dearborn, MI 48126-1659 | 2018-09-12 |
| 1407341001 | Fares Yasin | General Practice | 24418 Michigan Ave, Dearborn, MI 48124-1837 | 2018-06-26 |
| Find all providers in DEARBORN | ||||
Please comment or provide details below to improve the information on DR. BRENDA UBOM.
| 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.