| Downriver Family Physicians Pc | |
|
25880 Outer Dr Lincoln Park MI 48146-1553 | |
| (313) 294-9410 | |
| Not Available |
| Full Name | Downriver Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 25880 Outer Dr, Lincoln Park, Michigan |
| Authorized Official Name and Position | Kirti Jain (OWNER) |
| Authorized Official Contact | 3132949410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downriver Family Physicians Pc 25880 Outer Dr Lincoln Park MI 48146-1553 Ph: (313) 294-9410 | Downriver Family Physicians Pc 25880 Outer Dr Lincoln Park MI 48146-1553 Ph: (313) 294-9410 |
| NPI Number | 1508144601 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Medicare PECOS PAC ID | 6800069352 |
|---|---|
| Medicare Enrollment ID | O20111031000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508144601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kirti Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316926165 PECOS PAC ID: 7618951294 Enrollment ID: I20040614000836 |
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