Modern Psychiatry Pc | |
39000 7 Mile Rd # 3100 Livonia MI 48152-1006 | |
(734) 743-3480 | |
Not Available |
Full Name | Modern Psychiatry Pc |
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Speciality | Psychiatry & Neurology |
Location | 39000 7 Mile Rd # 3100, Livonia, Michigan |
Authorized Official Name and Position | Danya Berri (PSYCHIATRY) |
Authorized Official Contact | 3136051506 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Modern Psychiatry Pc 39000 7 Mile Rd # 3100 Livonia MI 48152-1006 Ph: (734) 743-3480 | Modern Psychiatry Pc 39000 7 Mile Rd # 3100 Livonia MI 48152-1006 Ph: (734) 743-3480 |
NPI Number | 1003502717 |
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Provider Enumeration Date | 04/14/2023 |
Last Update Date | 07/17/2023 |
Certification Date | 07/17/2023 |
Medicare PECOS PAC ID | 6709247992 |
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Medicare Enrollment ID | O20230803004352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003502717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Danya Berri |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689135089 PECOS PAC ID: 5193056406 Enrollment ID: I20230803004388 |
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