Joram O Mogaka in Saint Clair Shores - Internal Medicine
Joram O Mogaka - NPI 1255407631
Joram O Mogaka is a Internal Medicine in Saint Clair Shores, Michigan. Joram O Mogaka practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Joram O Mogaka is 1255407631. The last update date is 2015-08-18.
Joram O Mogaka's current location address is 22631 Greater Mack Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867710100. The mailing address for Joram O Mogaka is 22631 Greater Mack Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joram O Mogaka |
|---|---|
| Address | 22631 Greater Mack Ave, Saint Clair Shores, Michigan |
| Phone Number | 5867710100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255407631 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2015-08-18 |
Provider Mailing Address Detail
| Address | 22631 Greater Mack Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480802055 |
| Phone Number | 5867710100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 76566 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 810666394 | MI | TAX ID | |
| 1108235572 | MI | BLUE CROSS BLUE SHIELD | |
| 472234510 | MI | -- | |
| 1106314802 | MI | BLUE CARE NETWORK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Joram O Mogaka by the Centers for Medicare & Medicaid Services?
The Joram O Mogaka has been issued the NPI (National Provider Identifier) 1255407631 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Joram O Mogaka's physical address?
The Joram O Mogaka is physically located at 22631 Greater Mack Ave, in the city of Saint Clair Shores, MI, with the postal code 480802055.
What is the Joram O Mogaka's area of specialization and corresponding taxonomy classification?
The Joram O Mogaka's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Joram O Mogaka receive the assignment of its 1255407631 from the Centers for Medicare & Medicaid Services?
The Joram O Mogaka was issued its 1255407631 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date was the information pertaining to Joram O Mogaka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joram O Mogaka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-18.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY