Integrated Medical Partners PA
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Novi, MI
NPI 1962863092 · NPPES record last updated Aug 4, 2016
Key facts
- NPI
- 1962863092
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- INTEGRATED MEDICAL PARTNERS PA
- Practice address
- 21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510 - Phone
- (248) 662-0250
- Fax
- (248) 662-9848
- NPI assigned
- Mar 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Thomas M Prose, MD
- Title
- President
- Phone
- (248) 662-0250
Practitioners 4
-
Thomas Mark Prose, M.D.
-
Luis F. Domenech, M.D.
-
Bhikam C Mehta, M.D.
-
Christina Elaine Snider, N.P.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | MI | Yes | |
| Nurse Practitioner |
363L00000X | MI |
Addresses
Primary practice location
21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510
Mailing address
21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510
Phone (248) 662-0250
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All providers in Novi, MI · Geriatric Medicine (Internal Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2016. 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.