Imad S Modawi (NPI# 1124224415, PAC ID# 5597817718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1124224415 |
| PAC ID by PECOS | 5597817718 |
| Professional Enrollment ID | I20090720000425 |
| Full Name | Imad S Modawi |
| Organization Legal Name | KIDNEY DISEASE AND HYPERTENSION, P.C. |
| Address |
1254 N Main St Lapeer MI 48446-1343 |
| Phone Number | 8106644531 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 5193723773 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230132 | HURLEY MEDICAL CENTER |
| 230193 | MCLAREN LAPEER REGION |
| 230141 | MCLAREN FLINT |
| 230197 | GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK |
| Address | Phone | Organization |
|---|---|---|
| 2387 S Linden Rd A, Flint, MI 48532-5436 | 8107331700 | KIDNEY DISEASE AND HYPERTENSION, P.C. |
| 1254 N Main St, Lapeer, MI 48446-1343 | 8106644531 | KIDNEY DISEASE AND HYPERTENSION, P.C. |
| Organization Legal Name | KIDNEY DISEASE AND HYPERTENSION, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali K Owda | Nephrology | Kidney Disease and Hypertension, P.C. | 1254 N Main St, Lapeer, MI 48446-1343 |
| Street Address |
1254 N MAIN ST |
| City | LAPEER |
| State | MI |
| Zip | 48446-1343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Maten | Nurse Practitioner | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Eric Paul Rose | Physician Assistant | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Erica Weaver | Nurse Practitioner | Mclaren Medical Group | 1254 N Main St, Lapeer, MI 48446-1343 |
| Daniel E Tackabury | Family Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Kevin K Florek | Undersea and Hyperbaric Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Roger A Skindell | Family Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Kathleen M Perkins | Family Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Maria T Cumba | General Surgery | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Hsin Kai Chen | Physician Assistant | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Aalia Saeed | Gastroenterology | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akram M Fram | General Practice | 237 Davis Lake Rd A P O Box, Suite 38, Lapeer, MI 48446-0038 | |
| Robert M Cleary Jr. | Cardiovascular Disease (cardiology) | Cardiology Consultants of East Michigan Pllc | 1031 Suncrest Dr, Lapeer, MI 48446-1136 |
| Pamela J Handley | Nurse Practitioner | Cardiology Consultants of East Michigan Pllc | 1031 Suncrest Dr, Lapeer, MI 48446-1136 |
| Hisham Ibrehim Ahmed | Internal Medicine | Hisham I Ahmed Md Pllc | 1457 Suncrest Dr, Lapeer, MI 48446-1151 |
| Danielle Giles | Clinical Social Worker | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Sarah Steinacker | Psychiatry | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Sharmalie Therese Sarvananda | Psychiatry | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Mary Lou Stewart | Clinical Social Worker | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Hillary Cole | Clinical Social Worker | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Christine M Cucchi | Psychiatry | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Find all physicians in zip 48446 | |||
| City | LAPEER |
| Zip Code | 48446 |
| Specialty | NEPHROLOGY |
| City + Specialty | LAPEER + NEPHROLOGY |
Please comment or provide details below to improve the information on Imad S Modawi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.