Individual ProviderMumtaz GeorgeInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5130 Coolidge Hwy, Royal Oak, MI 48073-1001(248) 288-9500PECOS EnrollmentBased on the most recent information from CMS, provider Mumtaz George 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 yesterday at 9:21 AM.Profile DetailsProvider ID1265523302Provider TypeIndividualFull NameGeorge, MumtazTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date9/27/2006Last Updated4/23/2010Contact InformationPractice LocationPractice Address5130 Coolidge Hwy, Royal Oak, MI 48073-1001Phone(248) 288-9500Fax(248) 288-0044Mailing LocationMailing Address5130 Coolidge Hwy, Royal Oak, MI 48073-1001Phone(248) 288-9500Fax(248) 288-0044Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301038490Michigan