| Ananda Medical Clinic And Healing Center Plc | |
|
2200 Monroe St Dearborn MI 48124-3058 | |
| (313) 565-8700 | |
| Not Available |
| Full Name | Ananda Medical Clinic And Healing Center Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 Monroe St, Dearborn, Michigan |
| Authorized Official Name and Position | Madhu Gupta (OWNER) |
| Authorized Official Contact | 3135658700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ananda Medical Clinic And Healing Center Plc 44548 Spring Hill Rd Northville MI 48168-4367 Ph: (313) 565-8700 | Ananda Medical Clinic And Healing Center Plc 2200 Monroe St Dearborn MI 48124-3058 Ph: (313) 565-8700 |
| NPI Number | 1225061419 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/06/2020 |
| Medicare PECOS PAC ID | 7416977434 |
|---|---|
| Medicare Enrollment ID | O20051205000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225061419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Madhu V Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770528705 PECOS PAC ID: 1456246982 Enrollment ID: I20040216000371 |
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