MAECENAS HEALTH SYSTEMS PC - NPI NUMBER 1003155607
Provider Name: MAECENAS HEALTH SYSTEMS PC
NPI Number: 1003155607
Clasification: Internal Medicine (207R00000X)
26677 W 12 MILE RD
Phone Number: (248) 358-6995
MAECENAS HEALTH SYSTEMS PC is an internist in Southfield, MI. The provider is 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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1003155607 and is registered as an organization entity type and is a multi-specialty group.
The provider's business address is:
26677 W 12 MILE RD
Phone: (248) 358-6995
The provider's authorized official is Solomon Chukwuemeka Awusah .
The authorized official title is President and has the following contact phone number (248) 790-5808.
The enumeration date for this NPI number is 2/4/2013 and was last updated on 2/15/2013.
Map - Location of Practice
||CHIRAG D POPAT, MD
||RAJ & ASSOCIATES M.D. P.C.
||DR. SUMNER CAMISA
||TERRY R. GORDON, M.D.
||DR. HERMAN KADO, M.D.
Internal Medicine (Cardiovascular Disease)
||RUDYARD L. DIMSON MD PLC
The following information regarding the scope of practice of this provider is available:
||Entity Type Code
||Employer Identification Number EIN
||Provider Organization Name Legal Business Name
||MAECENAS HEALTH SYSTEMS PC
||Provider First Line Business Practice Location Address
||26677 W 12 MILE RD
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Enumeration Date
||Last Update Date
||Authorized Official Last Name
||Authorized Official First Name
||Authorized Official Middle Name
||Authorized Official Title or Position
||Authorized Official Telephone Number
||Healthcare Provider Taxonomy Code 1
||Provider License Number 1
||Provider License Number State Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Organization Subpart
||Authorized Official Name Prefix Text
||Authorized Official Credential Text
||Healthcare Provider Taxonomy Group 1
||193200000X MULTI-SPECIALTY GROUP
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This page was last updated on: 10/12/2014
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