Healthcare Provider Details

I. General information

NPI: 1124053509
Provider Name (Legal Business Name): OAKLAND MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 E 12 MILE RD SUITE 100
MADISON HEIGHTS MI
48071-2602
US

IV. Provider business mailing address

1385 E 12 MILE RD SUITE 100
MADISON HEIGHTS MI
48071-2602
US

V. Phone/Fax

Practice location:
  • Phone: 248-399-6090
  • Fax: 248-399-5282
Mailing address:
  • Phone: 248-399-6090
  • Fax: 248-399-5282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAROLD MARGOLIS
Title or Position: PRESIDENT
Credential: DO
Phone: 313-538-3099