Luis Pomodoro M D P C | |
15645 Farmington Rd Livonia MI 48154-2851 | |
(734) 425-5320 | |
(734) 425-6212 |
Full Name | Luis Pomodoro M D P C |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 15645 Farmington Rd, Livonia, Michigan |
Authorized Official Name and Position | Luis A. Pomodoro (PRESIDENT) |
Authorized Official Contact | 7344255320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Luis Pomodoro M D P C 15645 Farmington Rd Livonia MI 48154-2851 Ph: (734) 425-5320 | Luis Pomodoro M D P C 15645 Farmington Rd Livonia MI 48154-2851 Ph: (734) 425-5320 |
NPI Number | 1043327935 |
---|---|
Provider Enumeration Date | 08/24/2006 |
Last Update Date | 01/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043327935 | NPI | - | NPPES |
118156 | Other | MI | CARE CHOICES |
2608203502 | Other | MI | BLUE CROSS BLUE SHIELD |
118156 | Other | MI | PREFERRED CHOICES |
036223 | Other | MI | VALUE OPTIONS |
1958828 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301037706 (Michigan) | Primary |
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