Ppom
Organization Active NPI Primary Care Clinic/Center · Trenton, MI
NPI 1588095863 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1588095863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 4301096426 (MI)
- Legal business name
- PPOM
- Practice address
- 3645 West Rd
Trenton, MI 48183-2225 - Phone
- (734) 486-4200
- Fax
- (734) 486-4202
- NPI assigned
- Dec 11, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Kashif Qureshi, M.D.
- Title
- Physician
- Phone
- (734) 486-4200
Practitioners 6
-
Brianne Michelle Hauser, PA-C
-
Navin Raj, M.D.
-
Virginia Remedio, NP
National Provider Directory
Locations
19145 Allen Rd
Ste 107
Brownstown Twp, MI 48183
Phone (734) 486-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4301096426 | MI | Yes |
Addresses
Primary practice location
3645 West Rd
Trenton, MI 48183-2225
Mailing address
3645 West Rd
Trenton, MI 48183-2225
Phone (734) 486-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346340379 | Medicaid | MI |
Other providers in Trenton, MI
- Jodi E Portice
- Jennifer M Porubsky
- Vicente T Posadas
- Possibilities Counseling LLC
- Janette Mae Potter
- Preet Sandhu, M.D., P.C.
- Prestige Health Services PLC
- Professional Dental Alliance of Trenton, PLLC
- Julian Cain Puga
- Stephen Paul Pylkas
All providers in Trenton, MI · Primary Care Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.