| Internal Medicine Assoc Of Mi Pc | |
|
15105 Northline Rd Southgate MI 48195-2409 | |
| (734) 282-7734 | |
| (734) 282-7577 |
| Full Name | Internal Medicine Assoc Of Mi Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15105 Northline Rd, Southgate, Michigan |
| Authorized Official Name and Position | Jagdish Sachdeva (OWNER) |
| Authorized Official Contact | 7342827734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Assoc Of Mi Pc 15105 Northline Rd Southgate MI 48195-2409 Ph: (734) 282-7734 | Internal Medicine Assoc Of Mi Pc 15105 Northline Rd Southgate MI 48195-2409 Ph: (734) 282-7734 |
| NPI Number | 1720109499 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/13/2010 |
| Medicare PECOS PAC ID | 9335219567 |
|---|---|
| Medicare Enrollment ID | O20080530000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720109499 | NPI | - | NPPES |
| 4164914 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rohit Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457390213 PECOS PAC ID: 8628056983 Enrollment ID: I20060227000665 |
| Provider Name | Arpan Ratilal Bhakta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598822520 PECOS PAC ID: 0345439782 Enrollment ID: I20110114001010 |
| Provider Name | Jagdish K Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295891067 PECOS PAC ID: 0840361853 Enrollment ID: I20120207000531 |
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