Gfc Of Southeastern Michigan, Pc | |
15 E Kirby St, Suite 102, Detroit, MI 48202-4047 | |
(313) 833-3090 | |
(313) 833-7843 |
Full Name | Gfc Of Southeastern Michigan, Pc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 15 E Kirby St, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316191679 | NPI | - | NPPES |
1417136029 | Medicaid | MI | |
82028141 | Other | MI | PROCARE |
1316191679 | Other | MI | MEDICARE NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901002275 (Michigan) | Primary |
335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Secondary |
Provider Name | Manisha Mehta |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1417136029 PECOS PAC ID: 9133219389 Enrollment ID: I20081230000213 |
Provider Name | Harpreet S Minhas |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1740575653 PECOS PAC ID: 0345474128 Enrollment ID: I20171010000704 |
Mailing Address | Practice Location Address |
---|---|
Gfc Of Southeastern Michigan, Pc 15 E Kirby St, Suite 102, Detroit, MI 48202-4047 Ph: (313) 833-3090 | Gfc Of Southeastern Michigan, Pc 15 E Kirby St, Suite 102, Detroit, MI 48202-4047 Ph: (313) 833-3090 |
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Dr. Mohammed Bazzi, D.P.M Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 7633 E Jefferson Ave, Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
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