Mpba | |
690 S Trumbull St Bay City MI 48708-7656 | |
(989) 922-4900 | |
(989) 922-4911 |
Full Name | Mpba |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 690 S Trumbull St, Bay City, Michigan |
Authorized Official Name and Position | Kishore Kondapaneni (CEO) |
Authorized Official Contact | 9899224900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mpba 690 S Trumbull St Bay City MI 48708-7656 Ph: (989) 922-4900 | Mpba 690 S Trumbull St Bay City MI 48708-7656 Ph: (989) 922-4900 |
NPI Number | 1326194168 |
---|---|
Provider Enumeration Date | 01/26/2007 |
Last Update Date | 03/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326194168 | NPI | - | NPPES |
260Z910350 | Other | MI | BCBS |
ON34080 | Other | MI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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