| Endocrine And Metabolic Disorders Center Pc | |
|
2177 Auburn Rd Shelby Twp MI 48317-3806 | |
| (586) 737-7520 | |
| (586) 737-7591 |
| Full Name | Endocrine And Metabolic Disorders Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2177 Auburn Rd, Shelby Twp, Michigan |
| Authorized Official Name and Position | Ashish Verma (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5867377520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine And Metabolic Disorders Center Pc 2177 Auburn Rd Shelby Twp MI 48317-3806 Ph: (586) 737-7520 | Endocrine And Metabolic Disorders Center Pc 2177 Auburn Rd Shelby Twp MI 48317-3806 Ph: (586) 737-7520 |
| NPI Number | 1114270519 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 05/05/2020 |
| Medicare PECOS PAC ID | 4183865058 |
|---|---|
| Medicare Enrollment ID | O20130719000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114270519 | NPI | - | NPPES |
| 1114270519 | Medicaid | MI | |
| 110H703530 | Other | MI | BCN GRP |
| 110H703530 | Other | MI | BCBS GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301066588 (Michigan) | Primary |
| Provider Name | Ashish Verma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649238213 PECOS PAC ID: 6204884349 Enrollment ID: I20050105001009 |
| Provider Name | Richa Redhu Gehlaut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942413588 PECOS PAC ID: 9032267901 Enrollment ID: I20191231000122 |
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