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Deda Lucaj, MD

Student in an Organized Health Care Education/Training Program in Clinton Township, MI. Individual provider (NPI-1).

NPI number1023958451
StatusActive
Last updated in NPPESMar 28, 2026

Details

NPI
1023958451
Entity type
Individual (NPI-1)
Name
Deda Lucaj
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2026
Certification date
Mar 28, 2026
Last updated
Mar 28, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–MIYes

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Phone 586-263-2300

Mailing address

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Clinton Township, MI

All 117 Student in an Organized Health Care Education/Training Program providers in Clinton Township · All 3,035 providers in Clinton Township

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