UNIVERSAL MEDICAL GROUP P.C. (NPI# 1952630097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952630097 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL MEDICAL GROUP P.C. |
| Practice Address |
24661 Coolidge Hwy Oak Park MI 48237-1449 |
| Practice Telephone | 2485423515 |
| Mailing Telephone | 2485423515 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | PRAMOD RAVAL (OWNER) |
| Authorized Official Telephone | 2485423515 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
24661 COOLIDGE HWY |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053592238 | Ibrahim Hussein Dabaja | Physician Assistant | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2007-11-16 |
| 1982203972 | Nouha Mohamad Hassan | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2020-10-20 |
| 1811524655 | Houda Abdallah | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2020-03-23 |
| 1366941247 | Peter Matty | Physician Assistant | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2018-02-06 |
| 1386185205 | Donna Saad-hamie | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2017-03-10 |
| 1437544350 | Dabaja Medical Consulting Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2015-03-30 |
| 1770980385 | Oak Park Urgent Care Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-11-25 |
| 1174947543 | Dabaja Medical Consulting | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1225665789 | Tyler Luu | Internal Medicine | 420 Home Ave Apt 207n, Oak Park, IL 60302-3715 | 2020-03-25 |
| 1720551096 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1 Erie Ct Ste 7000, Oak Park, IL 60302-2567 | 2019-01-09 |
| 1699102632 | I Priority Pt LLC | Internal Medicine | 21700 Greenfield Rd Ste 215, Oak Park, MI 48237-2532 | 2013-10-05 |
| 1104115468 | Lisa Davidoff | Internal Medicine | 7005 North Ave, Oak Park, IL 60302-1001 | 2011-04-06 |
| 1215248984 | Angela Aboutalib | Internal Medicine | 3 Erie Ct Ste L-700, Oak Park, IL 60302-2519 | 2010-06-28 |
| 1750617916 | Venkata Sai Srikanth Moningi | Internal Medicine | 516 Harrison St, Apt Bc, Oak Park, IL 60304-1446 | 2009-10-22 |
| 1063651305 | Anarkali Internists Sc | Internal Medicine | 1035 N Marion St, Oak Park, IL 60302-1374 | 2009-02-10 |
| 1952577819 | Izuchukwu Nwafo | Internal Medicine | 1170 S East Ave, Oak Park, IL 60304-2143 | 2008-05-01 |
| 1053584227 | Jyotsna Bhatt | Internal Medicine | 101 Madidon Street, Suite 204, Oak Park, IL 60302-4210 | 2008-04-09 |
| 1255502464 | Emelita C. Co, M.d. S.c. | Internal Medicine | 610 S Maple Ave Ste 3300, Oak Park, IL 60304-2803 | 2008-03-14 |
| Find all providers in OAK PARK | ||||
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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.