MEDICARE: BELINDA S KAKOS DO

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	207P00000X	Emergency Medicine Physician	036173414	IL
2	207P00000X	Emergency Medicine Physician	02008166A	IN
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	5101017396	MI

General Provider Information

NPI Number	:	1316111263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA S KAKOS DO

Provider Business Mailing Address
First Line	:	13355 E 10 MILE RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-2048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13355 E 10 MILE RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-2048
Country	:	US
Telephone Number	:	586-759-7691
Fax Number	:

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

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	03/06/2026

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Directions to “ BELINDA S KAKOS DO” Practice Location

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