| Kishan L Kella Md Pc | |
|
625 N Michigan Ave Saginaw MI 48602-4340 | |
| (989) 752-6116 | |
| (989) 752-0074 |
| Full Name | Kishan L Kella Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 625 N Michigan Ave, Saginaw, Michigan |
| Authorized Official Name and Position | Kishan L Kella (OWNER) |
| Authorized Official Contact | 9897526116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishan L Kella Md Pc 625 N Michigan Ave Saginaw MI 48602-4340 Ph: (989) 752-6116 | Kishan L Kella Md Pc 625 N Michigan Ave Saginaw MI 48602-4340 Ph: (989) 752-6116 |
| NPI Number | 1053367524 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 05/27/2009 |
| Medicare PECOS PAC ID | 0143216473 |
|---|---|
| Medicare Enrollment ID | O20040422000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053367524 | NPI | - | NPPES |
| 4723665 | Medicaid | MI | |
| 4600834 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | KK046739 (Michigan) | Primary |
| Provider Name | Kishan Lal Kella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134310659 PECOS PAC ID: 3274529508 Enrollment ID: I20040422000949 |
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