| Aspan Medical Services, Pllc | |
|
3400 Livernois Rd Troy MI 48083-5063 | |
| (248) 528-8001 | |
| (248) 528-8002 |
| Full Name | Aspan Medical Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Livernois Rd, Troy, Michigan |
| Authorized Official Name and Position | Bibban Deol (OWNER) |
| Authorized Official Contact | 3135757865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspan Medical Services, Pllc 20816 E 11 Mile Rd Ste 110 Saint Clair Shores MI 48081-1564 Ph: (586) 285-5783 | Aspan Medical Services, Pllc 3400 Livernois Rd Troy MI 48083-5063 Ph: (248) 528-8001 |
| NPI Number | 1649707134 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 05/16/2017 |
| Medicare PECOS PAC ID | 8921375619 |
|---|---|
| Medicare Enrollment ID | O20170531001356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649707134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301078546 (Michigan) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 4301078546 (Michigan) | Primary |
| Provider Name | Bibban Kaur Deol |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659320737 PECOS PAC ID: 6709898836 Enrollment ID: I20060608000040 |
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