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Online Controlled Kravings Weight Loss PLLC

NPI 1043096761ActiveOrganization· General Practice· Southfield, MI

General Practice in Southfield, Michigan, registered in NPPES in September 2023, part of Online Controlled Kravings Weight Loss PLLC. The authorized official on file is Zakari Tata, MD, Authorized Official.

Overview

NPI1043096761
StatusActive
Entity typeOrganization (subpart)
Parent organizationOnline Controlled Kravings Weight Loss PLLC
NPI issuedSep 7, 2023
Last updated in NPPESSep 7, 2023
Certified by providerSep 7, 2023

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——
Clinic/Center, Primary Care261QP2300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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