| Macomb Neurology Associates Pc | |
|
27427 Schoenherr Ste 100 Warren MI 48088 | |
| (586) 756-5500 | |
| (586) 756-5511 |
| Full Name | Macomb Neurology Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 27427 Schoenherr, Warren, Michigan |
| Authorized Official Name and Position | Chakrapani Ranganathan (PRESIDENT) |
| Authorized Official Contact | 5867565500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Neurology Associates Pc Po Box 7027 Novi MI 48376 Ph: (586) 756-5500 | Macomb Neurology Associates Pc 27427 Schoenherr Ste 100 Warren MI 48088 Ph: (586) 756-5500 |
| NPI Number | 1467525675 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Medicare PECOS PAC ID | 6305732264 |
|---|---|
| Medicare Enrollment ID | O20040226000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467525675 | NPI | - | NPPES |
| 130E012370 | Other | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Thomas J Oneil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023090552 PECOS PAC ID: 3173424454 Enrollment ID: I20040226000622 |
| Provider Name | Chakrapani Ranganathan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194709584 PECOS PAC ID: 9830085703 Enrollment ID: I20040226000652 |
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