PRINCE J EUBANKS MD PC (NPI# 1407957988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407957988 |
| Entity Type | Organization |
| Organization Name | PRINCE J EUBANKS MD PC |
| Practice Address |
20526 Plymouth Rd Detroit MI 48228-1201 |
| Mailing Address |
19785 W 12 Mile Rd #268 Southfield MI 48076-2543 |
| Practice Telephone | 3132732330 |
| Practice Fax Number | 3132732604 |
| Mailing Telephone | 3132732330 |
| Mailing Fax Number | 3132732604 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PRINCE EUBANKS (OWNER) |
| Authorized Official Telephone | 3132732330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
========= | MI | Allopathic & Osteopathic Physicians |
| Street Address |
20526 PLYMOUTH RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48228-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811006794 | Susan Fadlallah | Pharmacist | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2006-08-30 |
| 1023594256 | Insaf Fadlallah | Pharmacist | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2018-07-11 |
| 1174838890 | Tete Oniang'o M.d. Pllc | General Practice | 20526 Plymouth Rd, Suite E, Detroit, MI 48228-1201 | 2010-08-18 |
| 1679746432 | George Saad Md PC | Family Medicine | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2008-04-11 |
| 1043482243 | Motor City Pharmacy Corp | Pharmacy | 20526 Plymouth Rd, Suite D, Detroit, MI 48228-1201 | 2008-03-27 |
| 1871628255 | Zicherman & Zicherman Dpm PC | Durable Medical Equipment & Medical Supplies | 20526 Plymouth Rd, Detroit, MI 48228 | 2007-02-23 |
| 1841391323 | Prince Jerome Eubanks | Internal Medicine | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
| 1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
| 1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
| 1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
| 1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
| Find all providers in zip 48228 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437172749 | Edward A Clay | Internal Medicine | 20001 Greenfield Rd, Suite 6, Detroit, MI 48235-1870 | 2006-07-26 |
| 1992230114 | Kajali Mishra | Internal Medicine | 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202 | 2017-04-25 |
| 1669823902 | Suraj Suresh | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-06-28 |
| 1063733111 | Kirthi Konda Lilley | Internal Medicine | 4646 John R St, 11m-gas, Detroit, MI 48201-1916 | 2010-06-11 |
| 1467770255 | Ashina Deepika Singh | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2010-05-04 |
| 1831328707 | Stephanie Judd | Internal Medicine | 4646 John R St, 11m-gas, Detroit, MI 48201-1916 | 2009-07-13 |
| 1760650006 | Suneetha V Duttala | Internal Medicine | 3990 John R St, 6 Hudson, Detroit, MI 48201-2018 | 2008-02-20 |
| 1700084712 | Radhika Aggarwal | Internal Medicine | 2799 W Grand Blvd, K7, Detroit, MI 48202-2608 | 2007-07-11 |
| 1457560161 | Jeffrey Christian Formoso Tang | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-21 |
| 1528180601 | Reena Salgia | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-04-06 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.