| Balbir Gandhi M.d.p.c | |
|
2025 Ford Ave Wyandotte MI 48192-2312 | |
| (734) 281-3080 | |
| (734) 281-8815 |
| Full Name | Balbir Gandhi M.d.p.c |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2025 Ford Ave, Wyandotte, Michigan |
| Authorized Official Name and Position | Balbir Gandhi (PRESIDENT) |
| Authorized Official Contact | 7342813080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balbir Gandhi M.d.p.c 2025 Ford Ave Wyandotte MI 48192-2312 Ph: (734) 281-3080 | Balbir Gandhi M.d.p.c 2025 Ford Ave Wyandotte MI 48192-2312 Ph: (734) 281-3080 |
| NPI Number | 1013090182 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 10/29/2007 |
| Medicare PECOS PAC ID | 8820161201 |
|---|---|
| Medicare Enrollment ID | O20080717000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013090182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301056606 (Michigan) | Primary |
| Provider Name | Balbir Gandhi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265442024 PECOS PAC ID: 0345247615 Enrollment ID: I20061030000173 |
| Provider Name | Tracie L Donigian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700173903 PECOS PAC ID: 2567636475 Enrollment ID: I20111110000513 |
| Provider Name | Nitin Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619330891 PECOS PAC ID: 6204121734 Enrollment ID: I20210929001489 |
| Provider Name | Jenna Corinne Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831783349 PECOS PAC ID: 8628454329 Enrollment ID: I20221004001643 |
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