Organization
JORAM O MOGAKA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORAM O MOGAKA MD (MD)
(313) 283-2211
Entity
Organization
Contact information
Practice address
25959 KELLY RD STE A, ROSEVILLE, MI 48066-4991
(586) 944-2131
(586) 842-3728
Mailing address
25959 KELLY RD STE A, ROSEVILLE, MI 48066-4991
(586) 944-2131
(586) 842-3728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108235572
BLUE CROSS BLUE SHIELD
MI
01
—
1205126216
UNITED FAMILY GR
MI
01
—
1255407631
INDIVUDAL NPI NUMBER
MI
01
—
1861434136
GROUP NPI
MI
05
—
472234510
—
MI
01
—
700H271450
UNITED FAMILY BC
MI
Enumeration date
06/12/2006
Last updated
02/20/2026
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