MACK MEDICAL MANAGEMENT LLC (NPI# 1588971980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588971980 |
| Entity Type | Organization |
| Organization Name | MACK MEDICAL MANAGEMENT LLC |
| Practice Address |
430 Mack Ave Detroit MI 48201-2136 |
| Practice Telephone | 2486360071 |
| Mailing Telephone | 2486360071 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | MRS. DIMPLE TRIPATHI (OWNER) |
| Authorized Official Telephone | 7346797688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
430 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863998 | Medical Management PC | Family Medicine | 430 Mack Ave, Detroit, MI 48201-2136 | 2006-03-07 |
| 1104482439 | Childrens Dental Care of Detroit | Dentist | 430 Mack Ave, Detroit, MI 48201-2136 | 2019-05-13 |
| 1104376771 | Darnell Kaigler Pllc | Dentist | 430 Mack Ave, Detroit, MI 48201-2136 | 2016-10-07 |
| 1821542010 | Arianne Sophia Swanson | Dentist | 430 Mack Ave, Detroit, MI 48201-2136 | 2016-08-05 |
| 1235437807 | Rio Detroit Inc | Pharmacy | 430 Mack Ave, Detroit, MI 48201-2136 | 2011-03-07 |
| 1205148616 | Renaissance Medical Center Pllc | Medical Genetics, Ph.D. Medical Genetics | 430 Mack Ave, Detroit, MI 48201-2136 | 2010-07-14 |
| 1861668089 | Anant Inc | Pharmacy | 430 Mack Ave, Detroit, MI 48201-2136 | 2008-05-07 |
| 1295908069 | Dmxrx Ltd | Pharmacy | 430 Mack Ave, Detroit, MI 48201-2136 | 2008-04-11 |
| 1205008125 | Ruben Taguiam Benito | Legal Medicine | 430 Mack Ave, Suite B, Detroit, MI 48201 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689172553 | Senora King | Specialist | 7824 Artesian St, Detroit, MI 48228-3376 | 2018-01-25 |
| 1134526437 | Pierre E Vinson | Specialist | 200 Mount Elliott St Ste 111, Detroit, MI 48207-4466 | 2014-12-02 |
| 1316348865 | Lamika Riley | Specialist | 18320 W Mcnichols Rd, Detroit, MI 48219-4162 | 2014-09-15 |
| 1659622017 | Extraordinary Medical Billing&consultant Services | Specialist | 19964 Rogge St, Detroit, MI 48234-3031 | 2012-09-26 |
| 1144588450 | Jessica Jensine Noles | Specialist | 14211 Northlawn St, Detroit, MI 48238-2434 | 2012-04-25 |
| 1770803496 | Cassandra Boggon | Specialist | 16203 Wyoming St, Detroit, MI 48221-3417 | 2010-06-03 |
| 1104089499 | Muwaffak Mohammad Abdulhak | Specialist | 2799 West Grand Blvd. K-11, Henry Ford Hospital, Detroit, MI 48202 | 2008-07-07 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1962674028 | House-call Service, Inc. | Specialist | 19455 Kentfield St, Detroit, MI 48219-2013 | 2008-03-29 |
| 1558530030 | Samir R. Yahia Md,p.c | Specialist | 22151 Moross Rd Bldg 1, Suite 335, Detroit, MI 48236-2167 | 2008-02-28 |
| 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.