Rodas MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301092621 Issued in MI

Legal business name

RODAS MD PLLC

Practice address

19928 Edinberg Dr
Macomb, MI 48044-2150

Phone

(313) 485-7777

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tesfamariam O Metiku, M.D.

Title

President

Phone

(313) 485-7777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1730545310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19928 EDINBERG DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442150",
            "telephone_number": "313-485-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19928 EDINBERG DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442150",
            "telephone_number": "313-485-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODAS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "METIKU",
        "authorized_official_first_name": "TESFAMARIAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-485-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Macomb, MI
• Providers in Macomb, 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 Jan 12, 2016; 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.