Dr Wala Clinic | |
106 S Lowe St Dowagiac MI 49047-1624 | |
(574) 335-9177 | |
Not Available |
Full Name | Dr Wala Clinic |
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Speciality | Clinic/Center |
Location | 106 S Lowe St, Dowagiac, Michigan |
Authorized Official Name and Position | Mohammed Amjad Ranginwala (OWNER) |
Authorized Official Contact | 5743359177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Wala Clinic 14360 Wynstone Ct Granger IN 46530-4202 Ph: (574) 335-9177 | Dr Wala Clinic 106 S Lowe St Dowagiac MI 49047-1624 Ph: (574) 335-9177 |
NPI Number | 1548607039 |
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Provider Enumeration Date | 05/24/2013 |
Last Update Date | 05/24/2013 |
Medicare PECOS PAC ID | 3779726518 |
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Medicare Enrollment ID | O20130827000574 |
Identifier | Type | State | Issuer |
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1548607039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4301088022 (Michigan) | Primary |
Provider Name | Mohammed A Ranginwala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154480994 PECOS PAC ID: 6406950948 Enrollment ID: I20070322000536 |
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