Participant Provider List
| Provider Name | NPI | Address | City | State | Zip |
|---|---|---|---|---|---|
| ACHRAF SLIM | 1689962136 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ADEBUKOLA ORISADARE | 1073004297 | 24333 Southfield Road, Suite 210 | Southfield | Michigan | 48075 |
| ADEWUNMI ADEYEMO | 1427289883 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ADNAN ALDURAH | 1811302227 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| ADRIANA ARREDONDO | 1174894208 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| ADULTELDERCAREPC | 1568593093 | 1032 N Irish Rd | Davison | Michigan | 48423 |
| AHMED BADR | 1508818253 | 3055 West Orange Ave Ste 103 | Anaheim | California | 92804 |
| AKISHA WILSON-PORTER | 1861860611 | 160 4th St | Brentwood | New York | 11717 |
| ALEXANDRIA MARSHALL | 1639444631 | 24566 Southfield | Southfield | Michigan | 48075 |
| ALISA SMITH | 1740421767 | 23077 Greenfield | Southfield | Michigan | 48075 |
| ALL FAMILY MEDICINE PC | 1891186920 | 365 Broadway Suite 1 | Amityville | New York | 11701 |
| ALLEN TOUBIA | 1750973244 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ALLISON SUTTER | 1811750805 | 2065 S. CENTER RD. BURTON | Flint | Michigan | 48519 |
| ALLYSON WILLIAMS | 1407115579 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| AMANDA SCHMIDT | 1053747022 | 23077 Greenfield | Southfield | Michigan | 48075 |
| AMBER HASSAN | 1720220544 | 602 Morris Ave | Bronx | New York | 10451 |
| AMBER KALABAT | 1780111575 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| AMUDHA PALAIYAN | 1548796964 | 23077 Greenfield | Southfield | Michigan | 48075 |
| ANAS SALIH | 1508251539 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| ANGELA BULLY | 1841257029 | 29425 Northwestern Hey #330 | Southfield | Michigan | 48034 |
| ANGELA BULLY MD PLLC | 1922215201 | 29425 Northwestern Hey #330 | Southfield | Michigan | 48034 |
| ANGELA EBURUCHE | 1831595040 | 26677 W 12 Mile | Southfield | Michigan | 48034 |
| ANTHONIA SULAIMAN | 1154724284 | 5059 York Blvd | Highland Park | California | 90042 |
| ANTHONY SPEARMAN | 1639453228 | 23077 Greenfield, Suite 156 | Southfield | Michigan | 48075 |
| ARA AIRAPETIAN | 1578543443 | 801 S Chevy Chase Dr, Suite 250 | Glendale | California | 91205 |
| ARAKSYA KOUPALIAN | 1619927696 | 8316 Foothill Blvd | Sunland | California | 91040 |
| ARCHANA SODHA | 1801315353 | 24333 Southfield Road, Suite 210 | Southfield | Michigan | 48075 |
| ARTHUR MANOUKIAN | 1811948540 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| ARUNPAL SEHGAL | 1801904099 | 7901 Walker Street | La Palma | California | 90241 |
| ASHLEY GROSS | 1154992048 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| ASHLEY SPRINKLE | 1629855580 | 2700 ROBERT T. LONGWAY BLVD. SUITE B | Flint | Michigan | 48503 |
| ASHOK KONDUR | 1508819434 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| BARRY BAKER | 1619078086 | 3665 E. Tremont Ave | Bronx | New York | 10465 |
| BARUCH KATZ | 1902803166 | 24333 Southfield Road, Suite 210 | Southfield | Michigan | 48075 |
| BASIL AWAWDEH | 1619400694 | 24566 Southfield | Southfield | Michigan | 48075 |
| BENJAMIN DOPPELT | 1578885687 | 23077 Greenfield | Southfield | Michigan | 48075 |
| BETTS MEDICAL GROUP LLC | 1083908081 | 21040 Greenfield Rd Suite 246 | Oak Park | Michigan | 48237 |
| BHEERENDRA PRASAD | 1831318286 | 3836 Park Ave | Memphis | Tennessee | 38111 |
| BHEERENDRA PRASAD | 1831318286 | 3325 Kirby Parway | Memphis | Tennessee | 38115 |
| BOBBY LEE | 1891767489 | 428 Monroe Ave | Grand Haven | Michigan | 49417 |
| BOBBY LEE | 1891767489 | 26677 W 12 Mile | Southfield | Michigan | 48034 |
| BONIFACE TUBIE | 1821144577 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| BRADLEY CENTALA | 1194477075 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| BRANDI DOERFLEIN | 1750064838 | 3525 N University St | Peoria | Illinois | 61604 |
| BRIAN MCDERMOTT | 1710454111 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| BRIAN MCMANUS | 1669715405 | 24566 Southfield | Southfield | Michigan | 48075 |
| BRIAN TSACOUMANGOS | 1346739224 | 26677 W 12 Mile Road | Southfield | Michigan | 48034 |
| CALOGERO C TUMMINELLO MD PC | 1578552105 | 7817 Metropolitian Ave | Middle Village | New York | 11379 |
| CALOGERO TUMMINELLO | 1346239969 | 7817 Metropolitian Ave | Middle Village | New York | 11379 |
| CANDICE KING | 1871902767 | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| CENTURY LIVING INC | 1659753085 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| CHANTALE BOTHUELL | 1457566341 | 2424 Fordham St | Keego Harbor | Michigan | 48320 |
| CHARMAINE HUDSON | 1780307082 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| CHELSEY EISENGA | 1699309690 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| CHERRELL SHELLS | 1033410451 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| CHINWE OHAKA | 1700226875 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| CHRISTINE MARONEY | 1205467065 | 8316 Foothill Blvd | Sunland | California | 91040 |
| CHRISTOPHER GADOUA | 1295132926 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| CHRISTOPHER HANSON | 1447514971 | 721 S Lewis Ln | Carbondale | Illinois | 62901 |
| CONNIE MITCHELL | 1710097019 | 25 Owen St. | Belleville | Michigan | 48111 |
| COURTNEY WELKER | 1003520909 | 2065 S. CENTER RD. BURTON | Flint | Michigan | 48519 |
| DANIEL OGBOVOH | 1780789727 | 1827 Madison Ave | NY | New York | 10035 |
| DANITA IONESCU | 1538244231 | 365 Broadway Suite1 | Amityville | New York | 11701 |
| DANNY SEGURA | 1790221398 | 801 S Chevy Chase Dr, Suite 250 | Glendale | California | 91205 |
| DAVID CRISS | 1326110305 | 23077 Greenfield Rd Ste 190 | Southfield | Michigan | 48075 |
| DAVID CRISS MD PC | 1356998397 | 23077 Greenfield Rd Ste 190 | Southfield | Michigan | 48075 |
| DAVID GOLDMAN | 1952377707 | 625 Montauk Hwy | Center Moriches | New York | 11934 |
| DAVID WASHINGTON | 1104953439 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| DEENA CHABAAN | 1134610207 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| DELTA RENAL GROUP PC | 1407863194 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| DENIENE KING | 1093107948 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| DEODGE HILL | 1174560106 | 25 Owen St. | Belleville | Michigan | 48111 |
| DINA GRODZINSKIY | 1235513730 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| DONALD HARDMAN | 1013906700 | 3499 S. Linden Rd #2 | Flint | Michigan | 48506 |
| DONALD HARDMAN | 1013906700 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| EARNEST WILLIAMS | 1891435798 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| EBRAHIM SAJEDI | 1154342269 | 12157 Victory Blvd. | North Hollywood | California | 91606 |
| EDWARD CHRISTY | 1750304945 | 1032 N Irish Rd | Davison | Michigan | 48423 |
| EDWIN STONE | 1548373301 | 27177 Lahser Suite 100 | Southfield | Michigan | 48034 |
| ELBERT FASNACHT | 1790834828 | 721 S Lewis Ln | Carbondale | Illinois | 62901 |
| ELIAS KASSAB | 1922076835 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ELIZABETH ALLISON | 1669035036 | 3100 Cross Creek Pkwy Suite 220 | Aurburn Hills | Michigan | 48326 |
| ELIZABETH KUJALA | 1215578414 | 26206 W. 12 Mile Rd Suite 302 | Southfield | Michigan | 48034 |
| ELIZABETH LEE REY | 1457421653 | 2426 Eastchester road | Bronx | New York | 10469 |
| EMILY NICHOLAS | 1780461814 | 1125 S. LINDEN RD SUITE 900 | Flint | Michigan | 48532 |
| ENRICO DANGELO | 1316030364 | 3117 Buhre Ave | Bronx | New York | 10461 |
| ERIC MOZURKEWICH | 1801493747 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ERIN ROHLFING | 1730872763 | 5494 S. DORT HWY | Flint | Michigan | 48519 |
| ERNEST SORENSON | 1679990634 | 24566 Southfield | Southfield | Michigan | 48075 |
| ESTHER ROGERS | 1184998528 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| ESTHER SELIK | 1205301678 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| EVERETT BRYANT | 1982750881 | 6 Parklane Blvd | Dearborn | Michigan | 48126 |
| EVERETT V BRYANT MD PLLC | 1306992201 | 6 Parklane Blvd | Dearborn | Michigan | 48126 |
| EXCLUSIVE PHYSICIANS PLLC | 1811226749 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| EYAS KANAAN | 1770992976 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| FAITH STEWART | 1740911486 | 911 E. Nine Mile Road | Ferndale | Michigan | 48220 |
| FONER MED, PLLC | 1396192746 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| FRANCINE ELLISON | 1194103390 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| FRANK ZUZIAK | 1790248821 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| GANESH DESHMUKH | 1619950631 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| GEORGE GILBERT | 1215021100 | 3525 N University St | Peoria | Illinois | 61604 |
| GHULAM DOSTZADA | 1093778649 | 5300 Katella Ave | Los Almitos | California | 90720 |
| GHULAM Y. DOSTZADA, M.D, INC | 1053599647 | 5300 Katella Ave | Los Almitos | California | 90720 |
| GREG NAMAN | 1265493498 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| GREGORY STEVENS | 1275672420 | 3100 Cross Creek Pkwy Suite 220 | Aurburn Hills | Michigan | 48326 |
| GREGORY STEVENS | 1275672420 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| HASSAN BAIZ | 1124553011 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| HEALTHLAND HOUSECALL SERVICES LLC | 1760029581 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| HELPING HANDS THERAPY LLC | 1215331038 | 26105 Orchard Lake | Farmington Hills | Michigan | 48334 |
| HENRI GODBOLD | 1407012834 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| HENRY BARRAZA | 1417043340 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| HERBERT ISAAC | 1841231941 | 989 University Dr. Suite 101 | Pontiac | Michigan | 48342 |
| HERBERT L. ISAAC II, M.D. FAMILY MEDICINE PLLC | 1881727725 | 989 University Dr. Suite 101 | Pontiac | Michigan | 48342 |
| HILL & DESIRE HEALTHCARE PLLC | 1689188765 | 25 Owen St. | Belleville | Michigan | 48111 |
| HORIZON CARE MEDICAL GROUP | 1730549841 | 23077 Greenfield, Suite 156 | Southfield | Michigan | 48075 |
| HOZEFA EZZI | 1255932463 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| HUI WANG | 1720674146 | 24333 Southfield Road, Suite 210 | Southfield | Michigan | 48075 |
| HUI WANG | 1720674146 | 26677 W 12 Mile Road | Southfield | Michigan | 48034 |
| I & L PROFESSIONAL MEDICAL SERVICES | 1760409593 | 15357 Farmington Rd | Livonia | Michigan | 48154 |
| IFFAT SADIQUE | 1104845155 | 3099 Coney Island Ave | Brooklyn | New York | 11235 |
| IFFAT SADIQUE | 1104845155 | 168-06 Hillsdale Ave | Jamaica | New York | 11432 |
| ILYA BURSHTEYN | 1073546131 | 1401 Ocean Ave Ste LD | Brooklyn | New York | 11230 |
| INNOCENT AGBASSI | 1922053636 | 15357 Farmington Rd | Livonia | Michigan | 48154 |
| JANAKI KANUMILLI | 1912956889 | 8338 Little Neck Pkwy | Floral Park | New York | 11004 |
| JANAKI KANUMILLI | 1912956889 | 11050 71st Road | Forest Hills | New York | 11375 |
| JEFF HUANG | 1124122551 | 5471 La Palma Ave Suite 105 | La Palma | California | 90623 |
| JENNIFER BALINT | 1417478025 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| JENNIFER PONKOWSKI | 1811546229 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| JESSICA SCHULTE | 1659942357 | 911 E Nine Mile Road | Ferndale | Michigan | 48220 |
| JODY JOHNSEN | 1437198629 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| JONATHAN EDGETTE | 1306562764 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| JOYCE STEVENS | 1346332400 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| JUDITH ADAMS | 1679625321 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| JUILIAN BASS | 1912476094 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| JULIA AHARONOV | 1487619623 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| JULIO SANTIAGO | 1144216185 | 256 S Soangetaha Rd | Galesburg | Illinois | 61401 |
| KAITLYN CHEEDIE | 1710538947 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| KARA WERTZ | 1477209757 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| KAREN BOYD | 1386642791 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| KAREN DECLUE | 1174858534 | 5059 York Blvd | Highland Park | California | 90045 |
| KARI ENDRES | 1326455908 | 3525 N University St | Peoria | Illinois | 61604 |
| KARING HANDZ LLC | 1649711789 | 4777 East Outer Dr #111 | Detroit | Michigan | 48234 |
| KATHERINE ELSENRATH | 1760048508 | 3445 Poplar Avenue | Memphis | Tennessee | 38111 |
| KATHERINE VANDERLAAN | 1255605283 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| KEHINDE AYENI | 1366520470 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| KELLY DOAN | 1477154599 | 24333 Southfield Road, Suite 210 | Southfield | Michigan | 48075 |
| KELLY WRIGHT | 1972021319 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| KENNETH THOMPSON | 1609112192 | 8316 Foothill Blvd | Sunland | California | 91040 |
| KHALID AHMED | 1619965175 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| KIESHA HARRIS | 1780262014 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| KIMBERLY HAGGERTY | 1841884384 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| KUNAL KHATRI | 1508102724 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| KYLE PLOEHN | 1437344587 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| KYRSTYN MCNEILL | 1629572268 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| LAURA MANN | 1558798496 | 23077 Greenfield | Southfield | Michigan | 48075 |
| LAUREN ALBERTINE | 1124658380 | 3445 Poplar Avenue | Memphis | Tennessee | 38111 |
| LAWANDA AGBASSI | 1083638993 | 15357 Farmington Rd | Livonia | Michigan | 48154 |
| LENIYA LEONARD | 1740596758 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| LEONARD ELLISON | 1679575328 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| LEONARD ELLISON JR MD PC | 1609821537 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| LIISA HARDING | 1578038188 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| LORINE KEAN-VAUGHN | 1417388976 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| LOVELYN OGBENNAH | 1194330258 | 24333 Southfield Road, Suite 210 | Southfield | Michigan | 48075 |
| M A MUNIR MD PC | 1073544912 | 23077 Greenfield | Southfield | Michigan | 48075 |
| MAHIN GHANEVATI | 1881915627 | 8316 Foothill Blvd | Sunland | California | 91040 |
| MAKULA BROWN | 1942813712 | 4777 East Outer Drive #111 | Detroit | Michigan | 48234 |
| MANAR MICHAEL | 1407800188 | 12157 Victory Blvd. | North Hollywood | California | 91606 |
| MANUEL UMANZOR | 1871668152 | 801 S Chevy Chase Dr, Suite 250 | Glendale | California | 91205 |
| MARGARET BETTS | 1811032113 | 21040 Greenfield Rd Suite 246 | Oak Park | Michigan | 48237 |
| MARGARET NOGER | 1366997520 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| MARTA HERNADI | 1932860806 | 911 E. Nine Mile Road | Ferndale | Michigan | 48220 |
| MARY GIRJIS | 1972108231 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| MARY MINOZA | 1164167474 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| MATTHEW LUTTRELL | 1821369497 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| MD HOUSE CALLS, PLLC | 1972605707 | 27177 Lahser Suite 100 | Southfield | Michigan | 48034 |
| MEGAN LENNOX | 1134883986 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| MELISSA FONER | 1184091407 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| MELISSA NORRIS | 1124304407 | 3535 N University St | Peoria | Illinois | 61604 |
| MICHELE LENO | 1770818577 | 26105 Orchard Lake | Farmington Hills | Michigan | 48334 |
| MICHELLE JONES | 1497388912 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| MOHAMED ABUHARAZ | 1427005123 | 1125 S. Linden Rd. | Flint | Michigan | 48532 |
| MOHAMED GISMALLA | 1992290613 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| MOHAMED NASSER | 1558890277 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| MOHAMMAD KHALIL | 1164460481 | 24566 Southfield | Southfield | Michigan | 48075 |
| MORRIS MEDICAL OFFICE,PC | 1619100377 | 602 Morris Ave | Bronx | New York | 10451 |
| MUHAMMAD AMIN | 1982099503 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| MUHAMMAD IQBAL | 1578515896 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| MUHAMMAD MUNIR | 1124079553 | 23077 Greenfield | Southfield | Michigan | 48075 |
| NALO MORANT | 1154794311 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| NATALIE BIRCH | 1831561828 | 493 Dr ML King Jr | Memphis | Tennessee | 38125 |
| NATASHA GERMAIN | 1093164808 | 12157 Victory Blvd. | North Hollywood | California | 91606 |
| NATHANIEL CRAIG | 1205509437 | 3525 N University St | Peoria | Illinois | 61604 |
| NICOLETTE KOWAL | 1770685620 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| NISHIT CHOKSI | 1992764641 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| NORAH DUNCAN | 1144583832 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| NORTH OAKLAND INTERNISTS, PC | 1083753255 | 3100 Cross Creek Pkwy Suite 220 | Aurburn Hills | Michigan | 48326 |
| NORTHCROSS INTERNAL MEDICINE, PLLC | 1871068361 | 1215 Poplar Ave | Memphis | Tennessee | 38104 |
| NSIMA USEN | 1144296153 | 24566 Southfield | Southfield | Michigan | 48075 |
| OGANES PARONIAN | 1528048899 | 12157 Victory Blvd. | North Hollywood | California | 91606 |
| OKYENIBA MEDICAL PC | 1811473721 | 58 E. Kingsbridge Road | Bronx | New York | 10468 |
| OLUKAYODE ODUWOLE | 1306984711 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| OSAMA QAQI | 1508094210 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| PAMELA VALKA | 1174521207 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| PARAMJOT MANN | 1518072123 | 7901 Walker Street | La Palma | California | 90241 |
| PARK HIGHLAND MEDICAL CLINIC, PLLC | 1689855124 | 3836 Park Acve | Memphis | Tennessee | 38111 |
| PARK HIGHLAND MEDICAL CLINIC, PLLC | 1689855124 | PO BOx 17962 | Memphis | Tennessee | 38187 |
| PAUL BONHEIM | 1235139775 | 160 4th St | Brentwood | New York | 11717 |
| PETER KALABAT | 1003900903 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| PHILLIP NORTHCROSS | 1831166677 | 1215 Poplar Ave | Memphis | Tennessee | 38104 |
| PHYSICIAN COVERAGE SERVICES PC | 1669567806 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| PRIORITY CARE MEDICAL GROUP | 1831200195 | 5471 La Palma Ave Suite 105 | La Palma | California | 90623 |
| RACHEED ATASSI | 1710969639 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| RACHELLE CAYAGO | 1689826463 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| RAFAELITO VICTORIA | 1548363989 | 10230 Artesia Blvd Ste 102 | Bellflower | California | 90706 |
| RAJANI KAKADE | 1467182964 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| RANDI BALLARD DICKERSON | 1164982229 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| RENEE MIROVSKY | 1740461185 | 3100 Cross Creek Pkwy Suite 220 | Aurburn Hills | Michigan | 48326 |
| RENOVIS CARE COMPANY | 1528750130 | 26677 W 12 Mile Road | Southfield | Michigan | 48034 |
| RIBHI HAZIN | 1265747463 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| RICHARD CLONEY | 1891269619 | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| RICHARD SCHOCK | 1326010265 | 3525 N University St | Peoria | Illinois | 61604 |
| ROBERT BALL | 1063530871 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| ROCELIOUS GOODSON | 1992863872 | 6 Parklane Blvd | Dearborn | Michigan | 48126 |
| ROCELIOUS GOODSON | 1992863872 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| ROSILIN JOSEPH | 1518626902 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ROXANNE KLENK | 1891192654 | 1125 S. Linden Rd. | Flint | Michigan | 48532 |
| RTS PRACTITIONER STAFFING SERVICE LLC | 1396366019 | 21701 W. 11 Mile Road #5 | Southfield | Michigan | 48076 |
| SALVATORE TRAZZERA | 1568469757 | 160 4th St | Brentwood | New York | 11717 |
| SAMUEL FOX | 1881891240 | 3525 N University St | Peoria | Illinois | 61604 |
| SAMUEL MENSAH | 1619980851 | 58 E. Kingsbridge Road | Bronx | New York | 10468 |
| SANJULA SURESH | 1386015451 | 24333 Southfield Road, Suite 210 | Southfield | Michigan | 48075 |
| SANJULA SURESH | 1386015451 | 26677 W 12 Mile | Southfield | Michigan | 48034 |
| SCOTT GARAVAGLIA | 1821551680 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| SEHGAL MEDICAL CORPORATION | 1912183054 | 7901 Walker Street | La Palma | California | 90241 |
| SEIF SAEED | 1598753568 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| SENIOR CARE VISITING PHYSICIANS | 1023668944 | 24333 Southfield Road Suite 210 | Southfield | Michigan | 48075 |
| SERAFINO SAURO | 1457846834 | 3525 N University St | Peoria | Illinois | 61604 |
| SHANNON WEBSTER | 1790006682 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| SHARON ODUM | 1164415949 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| SHIVANAND POLE | 1477737369 | 3851 Katella Ave Ste 305 | Los Alamitos | California | 90720 |
| SHIVANAND R POLE MD INC | 1598042178 | 3851 Katella Ave Ste 305 | Los Alamitos | California | 90720 |
| SHRONDA PHILLIPS | 1780231969 | 3525 N University St | Peoria | Illinois | 61604 |
| SIBY BINU | 1184357139 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| SINCLAIRE CHAPMAN | 1063063170 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| SOLVERA HEALTHCARE CENTER INC | 1760113104 | 3525 N University St | Peoria | Illinois | 61604 |
| SONELA BLACERI | 1942640347 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| SORAIA WASHINGTON | 1942723176 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| SOUTH BAY MEDICAL CARE P.C. | 1366569352 | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| SOUZAN SIRYANI | 1629695598 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| STACEY COUCH | 1215690458 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| STEPHANIE TOMICH | 1861636516 | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| SUDHA PRASAD | 1013083781 | 3836 Park Avenue | Memphis | Tennessee | 38111 |
| SUDHA PRASAD | 1013083781 | 3325 Kirby Parkway | Memphis | Tennessee | 38115 |
| SUSAN PETERSON | 1134888118 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| SUSAN TAM | 1801873237 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| TAMBER TOWNSEND | 1457890618 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| TAMMIE BULLY | 1366536088 | 29425 Northwestern Hey #330 | Southfield | Michigan | 48034 |
| TANYA BROOKS | 1962122275 | 100 E. Big Beaver Rd Suite 900 | Troy | Michigan | 48083 |
| TED NAMAN | 1730156050 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| THIERRY DESIR | 1063531960 | 25 Owen St. | Belleville | Michigan | 48111 |
| TIMETRICE BENSON | 1780329813 | 1125 S. Linden Rd. | Flint | Michigan | 48532 |
| TOM JOHN ROCCO DEUNGRIA | 1942776117 | 801 S Chevy Chase Dr, Suite 250 | Glendale | California | 91205 |
| TRICIA ALIAZIS | 1225670557 | 7901 Walker Street | La Palma | California | 90241 |
| VACHAREEPORN JAYASVASTI | 1801953492 | 3100 Cross Creek Pkwy Suite 220 | Aurburn Hills | Michigan | 48326 |
| VAN TRAN | 1043867062 | 801 S Chevy Chase Dr, Suite 250 | Glendale | California | 91205 |
| VICKI JOHNSON | 1942495361 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| VICTORIA MEDICAL, INC. | 1326584236 | 10230 Artesia Blvd Ste 102 | Bellflower | California | 90706 |
| VINCENT LEDDY | 1538201231 | 160 4th St | Brentwood | New York | 11717 |
| VR LEDDY, M.D., P.C. | 1275768327 | 160 Fourth St | Brentwood | New York | 11717 |
| WEN-SHI CHANG | 1508004193 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| WON CHAE | 1831192640 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| XAVIER WHITE | 1265548903 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| YOLANDA CUFF | 1215385851 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
| YOLANDA CUFF | 1215385851 | 21701 W. 11 Mile Road #5 | Southfield | Michigan | 48076 |
| ZAKARI TATA | 1871591313 | 4777 East Outer Drive | Detroit | Michigan | 48234 |
*Renovis does not have any joint ventures between or among the ACO REACH and any of its ACO REACH Participant Providers and Preferred providers.