MEDICARE: DR. RICHARD A MINKIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301039817	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	110241690	OTHER	MI	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	700F319250	OTHER	MI	BLUE SHIELD
3	06301492	OTHER	MI	BCBS INDIVIDUAL
5	15499	OTHER	MI	GREAT LAKES HEALTH PLAN
6	128906	OTHER	MI	CARE-PREFERRED CHOICES

General Provider Information

NPI Number	:	1629053954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A MINKIN M.D.

Provider Business Mailing Address
First Line	:	30840 NORHTWESTERN HWY
Second Line	:	SUITE 300
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2555
Country	:	US
Telephone Number	:	248-932-1250
Fax Number	:	248-932-8977

Provider Business Practice Location Address
First Line	:	30840 NORTHWESTERN HWY
Second Line	:	SUITE 300
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2555
Country	:	US
Telephone Number	:	248-932-1250
Fax Number	:	248-932-8977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	02/17/2011

Similar Medicare Providers

1548245632 — DR. ELLIOTTE MOSS M.D.
Practice Location Address:

30840 TELEGRAPH ROAD , SUITE 300
FARMINGTON HILLS, MI
48334-2555

Practice Phone: 248-932-8725
Practice Fax: 248-932-8977

1134143654 — ADVANCED SLEEP NEURODIAGNOSTICS, PC
Practice Location Address:

24001 ORCHARD LAKE RD , SUITE #140
FARMINGTON HILLS, MI
48336-2555

Practice Phone: 248-442-3700
Practice Fax: 248-442-8860

1407880156 — GILBERT LLOYD SOLOMON M.D.
Practice Location Address:

6300 CANOGA AVE , SEVENTH FLOOR
WOODLAND HILLS, CA
91367-2555

Practice Phone: 818-228-2335
Practice Fax: 818-228-2079

1790876241 — CAPITAL MEDICAL ASSOC. PC
Practice Location Address:

5385 TERENCE CT
BLOOMFIELD HILLS, MI
48302-2555

Practice Phone: 248-851-2083
Practice Fax: 248-855-2130

1558607770 — KRISTA YOKOYAMA PHARM.D.
Practice Location Address:

6300 CANOGA AVE , 10-1001C
WOODLAND HILLS, CA
91367-2555

Practice Phone: 818-228-2544
Practice Fax:

1831674761 — ROGER KUSHNER DO P.C.
Practice Location Address:

5391 TERENCE CT
BLOOMFIELD HILLS, MI
48302-2555

Practice Phone: 248-626-4513
Practice Fax: 248-626-1474

Directions to “ DR. RICHARD A MINKIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.