Provider Demographics
NPI:1275708406
Name:PHYSICIANS HOME HEALTH PC
Entity Type:Organization
Organization Name:PHYSICIANS HOME HEALTH PC
Other - Org Name:FREDERICK KAROUB MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAROUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-288-2160
Mailing Address - Street 1:801 JOE MANN BLVD STE P6
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-8900
Mailing Address - Country:US
Mailing Address - Phone:989-791-2455
Mailing Address - Fax:989-791-1392
Practice Address - Street 1:4045 W 13 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6640
Practice Address - Country:US
Practice Address - Phone:248-288-2160
Practice Address - Fax:248-288-0783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059587207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI01008126OtherHEALTH PLUS
MI1275708406Medicaid
MI5177552OtherAETNA
MIG16552OtherHAP
MI110F352150OtherBCBS GROUP
MIG16552OtherHAP
MI1275708406Medicaid