DR. STEFAN ODABASIC (NPI# 1437716479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437716479 |
| Entity Type | Individual |
| Full Name | DR. STEFAN ODABASIC |
| Credential | MD |
| Practice Address |
37595 7 Mile Rd Ste 340 Livonia MI 48152-1003 |
| Practice Telephone | 7347932470 |
| Practice Fax Number | 7347932471 |
| Mailing Telephone | 7347932470 |
| Mailing Fax Number | 7347932471 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2019016842 | MO | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 916 Olive St, Saint Louis, MO 631011400 | 3144369300 |
| Street Address |
37595 7 MILE RD STE 340 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831255900 | Jessica Burtt Agius | Nurse Practitioner | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2006-12-30 |
| 1578162319 | Iha Olma Primary Care Risk LLC | Internal Medicine | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-10-22 |
| 1043820228 | Akanksha Mehla | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-08-03 |
| 1780292326 | Jayesh Mittal | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-07-20 |
| 1033736541 | Sohaib Hasan Syed | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-06-30 |
| 1780211763 | Zakaria Malik | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-03-27 |
| 1326676289 | Dipesh B Patel | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-03-27 |
| 1437786605 | Matthew Antonio Filos-pope | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-03-26 |
| 1639705551 | Dennis Paskal | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-03-23 |
| 1619503521 | Shanequa Highsmith | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1104385061 | Abdulbaset M. Salim | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd # 304, Livonia, MI 48152-1003 | 2019-03-19 |
| 1134604549 | Allison Catherine Mcdonnell | Student in an Organized Health Care Education/Training Program | 36099 Brookview Dr, Livonia, MI 48152-2719 | 2018-10-02 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1477892511 | Gina Bertinette Capalbo | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 230, Livonia, MI 48152-1003 | 2013-02-09 |
| 1205151446 | Sukanya Sil | Student in an Organized Health Care Education/Training Program | 20276 Middlebelt Rd Ste 7, 7, Livonia, MI 48152-2054 | 2010-03-31 |
| 1043820228 | Akanksha Mehla | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-08-03 |
| 1780292326 | Jayesh Mittal | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-07-20 |
| Find all providers in LIVONIA | ||||
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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.