Individual ProviderMichael PokuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4557 Ethridge Dr, Plano, TX 75024-3969(410) 701-0894PECOS EnrollmentBased on the most recent information from CMS, provider Michael Poku is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215322177Provider TypeIndividualFull NamePoku, MichaelCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/30/2015Last Updated10/3/2024Contact InformationPractice LocationPractice Address4557 Ethridge Dr, Plano, TX 75024-3969Phone(410) 701-0894Fax(844) 511-6899Mailing LocationMailing Address4557 Ethridge Dr, Plano, TX 75024-3969PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseR6874TexasCode2083C0008XDescriptionPreventive MedicineAllopathic & Osteopathic PhysiciansLicenseR6874Texas