Twin Lakes Medical Associates, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301405466 Issued in MI

Legal business name

TWIN LAKES MEDICAL ASSOCIATES, P.C.

Practice address

43700 Woodward Avenue
Suite 206
Bloomfield Hills, MI 48302

Phone

(248) 451-0668

Fax

(248) 451-0672

NPI assigned

Jul 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ted Miklas, M.D.

Title

Physician

Phone

(248) 451-0668

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Othman Kadry, MD

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
  • NPI 1144233875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1053338038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVENUE",
            "address_2": "SUITE 206",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-451-0668",
            "fax_number": "248-451-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVENUE",
            "address_2": "SUITE 206",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-451-0668",
            "fax_number": "248-451-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "MIKLAS",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-451-0668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301405466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Tsinberg, M.D.
• Megan Tucci
• Quentessa Tuff
• Michael J Tulett, AT
• Padmaja Tummala, OTR/L
• Twyla Rose & Co, PLLC
• Allison Tyler, DPT
• Ngozi Ukandu, RPH
• Linda Ukomadu
• Andrew Uranis

• Internal Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.