| Downriver Internists,p.c. | |
|
21801 Goddard Rd Taylor MI 48180-4213 | |
| (734) 287-3830 | |
| (737) 287-4626 |
| Full Name | Downriver Internists,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 21801 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Beverly Jean Smith (PRACTICE MANAGER) |
| Authorized Official Contact | 7343182418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downriver Internists,p.c. 21801 Goddard Rd Taylor MI 48180-4213 Ph: (734) 287-3830 | Downriver Internists,p.c. 21801 Goddard Rd Taylor MI 48180-4213 Ph: (734) 287-3830 |
| NPI Number | 1043352784 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 01/29/2021 |
| Medicare PECOS PAC ID | 5597719468 |
|---|---|
| Medicare Enrollment ID | O20050303000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043352784 | NPI | - | NPPES |
| 110H249580 | Other | MI | BCBSM |
| 4134414 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 041891 (Michigan) | Primary |
| Provider Name | Tony Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396741567 PECOS PAC ID: 0042270795 Enrollment ID: I20041016000096 |
| Provider Name | Gobind L Garg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992798961 PECOS PAC ID: 1456447531 Enrollment ID: I20071020000134 |
| Provider Name | Eliezer R De Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578536009 PECOS PAC ID: 3779661988 Enrollment ID: I20091223000473 |
| Provider Name | Jairaj D Mulchandani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174698724 PECOS PAC ID: 9739216599 Enrollment ID: I20100428000089 |
| Provider Name | Srinivas Gatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679885388 PECOS PAC ID: 3173749553 Enrollment ID: I20140721000541 |
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