Provider Demographics
NPI:1669650867
Name:MEKAI VEKIMA, MARGARET BALEMBA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:BALEMBA
Last Name:MEKAI VEKIMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5429 WHITTAKER RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9751
Mailing Address - Country:US
Mailing Address - Phone:734-480-1400
Mailing Address - Fax:734-480-1456
Practice Address - Street 1:5429 WHITTAKER RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9751
Practice Address - Country:US
Practice Address - Phone:734-480-1400
Practice Address - Fax:734-480-1456
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070863207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4471817Medicaid
MIN65500001Medicare PIN
MIH25584Medicare UPIN