Id Care Pc | |
1808 S Pennsylvania Ave Suite E Lansing MI 48910-1897 | |
(517) 371-1500 | |
(517) 371-1501 |
Full Name | Id Care Pc |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 1808 S Pennsylvania Ave, Lansing, Michigan |
Authorized Official Name and Position | Kalyani Vangala (PRESIDENT) |
Authorized Official Contact | 5173645590 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Id Care Pc 1800 Bramble Dr East Lansing MI 48823-1730 Ph: (517) 364-5590 | Id Care Pc 1808 S Pennsylvania Ave Suite E Lansing MI 48910-1897 Ph: (517) 371-1500 |
NPI Number | 1669656112 |
---|---|
Provider Enumeration Date | 12/19/2007 |
Last Update Date | 09/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669656112 | NPI | - | NPPES |
110C315710 | Other | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Mi Post Acute Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Armstrong Rd, Lansing, MI 48911 Phone: 800-411-6768 | |
Lansing Family Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4202 Collins Rd, Suite 115, Lansing, MI 48910 Phone: 517-484-4520 Fax: 517-484-3930 | |
Ingham County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5303 S Cedar St, Lansing, MI 48911 Phone: 517-887-4311 | |