Provider Demographics
NPI:1659326395
Name:CARO HEALTH PLAZA PLC
Entity Type:Organization
Organization Name:CARO HEALTH PLAZA PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHFOOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-791-3888
Mailing Address - Street 1:1525 W CARO ROAD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-9260
Mailing Address - Country:US
Mailing Address - Phone:989-791-2455
Mailing Address - Fax:989-672-0748
Practice Address - Street 1:1525 W CARO RD
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-9260
Practice Address - Country:US
Practice Address - Phone:989-672-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059644207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4800343Medicaid
MI4907340Medicaid
MI4800281Medicaid
MI4865230Medicaid
MI4938088Medicaid
MI5189121Medicaid
MI4865230Medicaid
MII30003Medicare UPIN
MIR66550Medicare UPIN
MIU95735Medicare UPIN
MI4865230Medicaid
MI4800281Medicaid
MIR66530Medicare UPIN
MIH67218Medicare UPIN
MI4938088Medicaid
MI0P26070Medicare PIN