Clarkston Internal Medicine, P.C.
NPI 1417085085ActiveOrganization· Internal Medicine· Clarkston, MI
Internal Medicine in Clarkston, Michigan, registered in NPPES in March 2007. The authorized official on file is Bashar Okka, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417085085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2007 |
| Last updated in NPPES | Feb 16, 2026 |
| Certified by provider | Feb 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 4301050183 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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