| Michigan Internal Medicine & Pediatrics, P.c. | |
|
9001 Miller Road Suite 5 Swartz Creek MI 48473 | |
| (810) 630-0404 | |
| (810) 630-2306 |
| Full Name | Michigan Internal Medicine & Pediatrics, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9001 Miller Road, Swartz Creek, Michigan |
| Authorized Official Name and Position | Punam Sharman (OWNER) |
| Authorized Official Contact | 8106300404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Internal Medicine & Pediatrics, P.c. 9001 Miller Road Suite 5 Swartz Creek MI 48473 Ph: (810) 630-0404 | Michigan Internal Medicine & Pediatrics, P.c. 9001 Miller Road Suite 5 Swartz Creek MI 48473 Ph: (810) 630-0404 |
| NPI Number | 1467502252 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 3779685037 |
|---|---|
| Medicare Enrollment ID | O20070216000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467502252 | NPI | - | NPPES |
| 4971064 | Medicaid | MI | |
| 1102513001 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301072232 (Michigan) | Primary |
| 208000000X | Pediatrics | 4301072232 (Michigan) | Secondary |
| Provider Name | Punam Sharman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982651881 PECOS PAC ID: 6507968864 Enrollment ID: I20070216000625 |
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