Shishir Senapati, MD PC | |
43211 Dalcoma Dr, #3, Clinton Township, MI 48038-6309 | |
(586) 263-9355 | |
(586) 263-6835 |
Full Name | Shishir Senapati |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 43211 Dalcoma Dr, Clinton Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528085263 | NPI | - | NPPES |
10158860001 | Other | MI | WELLNESS PLAN |
7995388 | Other | MI | AETNA |
135474 | Other | MI | GLHP |
0501580 | Other | MI | BCBS |
4800058 | Medicaid | MI | |
NC011918 | Other | MI | MCARE |
352243716 | Other | MI | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | SS066528 (Michigan) | Primary |
208M00000X | Hospitalist | 4301066528 (Michigan) | Secondary |
Entity Name | Henry Ford Macomb Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
Mailing Address | Practice Location Address |
---|---|
Shishir Senapati, MD PC 43211 Dalcoma Dr, #3, Clinton Township, MI 48038-6309 Ph: (586) 263-9355 | Shishir Senapati, MD PC 43211 Dalcoma Dr, #3, Clinton Township, MI 48038-6309 Ph: (586) 263-9355 |
Elana Ann Grier, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 800-436-7936 | |
Robert Douglas Kenewell, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 17610 Kingsbrooke Cir Apt 101, Clinton Township, MI 48038 Phone: 586-412-6906 | |
Martin Bloda, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 34336 Harper Ave, Clinton Township, MI 48035 Phone: 586-791-9173 Fax: 586-791-9393 |