| Apollo Family Health Services Pc | |
|
5823 Middlebelt Rd Garden City MI 48135-2459 | |
| (734) 421-6333 | |
| (734) 421-9954 |
| Full Name | Apollo Family Health Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5823 Middlebelt Rd, Garden City, Michigan |
| Authorized Official Name and Position | Sujata Kambhatla (PRESIDENT AND CEO) |
| Authorized Official Contact | 7344216333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo Family Health Services Pc 5823 Middlebelt Rd Garden City MI 48135-2459 Ph: (734) 421-6333 | Apollo Family Health Services Pc 5823 Middlebelt Rd Garden City MI 48135-2459 Ph: (734) 421-6333 |
| NPI Number | 1891767281 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 3173719952 |
|---|---|
| Medicare Enrollment ID | O20101118000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891767281 | NPI | - | NPPES |
| 110827980-2 | Other | MI | BLUE CROSS BLUE SHIELD,MI |
| 4112248 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301067805 (Michigan) | Primary |
| Provider Name | Sujata Kambhatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376679514 PECOS PAC ID: 2860688645 Enrollment ID: I20101118001000 |
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