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Heather M Kathawa

  • Female

Medical Specialty

Professional ID

  • NPI: 1689913410
  • PECOS ID: 1658516935
  • Enrollment ID: I20130315000235
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2012

Hospital Service

  • Hospital CCN1: 230019
  • Business Name (LBN)1: Providence - Providence Park Hospital

Medical Practices

  • Organization Name: Independent Observation Physicians Pllc
  • Group Practice ID assigned by PECOS: 3577603604
  • Number of Group Practice member: 128

Location

  • Address1: 16001 W 9 Mile Rd
  • Address2:
  • City: Southfield
  • State: Michigan
  • Zip Code: 48075
  • Phone Number: (248)849-3331

Location

  • Address1: 205 N E Ave
  • Address2:
  • City: Jackson
  • State: Michigan
  • Zip Code: 49201
  • Phone Number: (517)788-4880

Location

  • Address1: 47601 Grand River Ave
  • Address2:
  • City: Novi
  • State: Michigan
  • Zip Code: 48374
  • Phone Number: (248)465-3000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):