| Omed Physicians Group Pc | |
|
23155 Northwestern Hwy Suite 104 Southfield MI 48075-7703 | |
| (248) 809-6906 | |
| (248) 809-6906 |
| Full Name | Omed Physicians Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 23155 Northwestern Hwy, Southfield, Michigan |
| Authorized Official Name and Position | Surinder Mendirata (PRESIDENT/OWNER) |
| Authorized Official Contact | 2488096806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omed Physicians Group Pc 23155 Northwestern Hwy Suite 104 Southfield MI 48075-7703 Ph: (248) 809-6906 | Omed Physicians Group Pc 23155 Northwestern Hwy Suite 104 Southfield MI 48075-7703 Ph: (248) 809-6906 |
| NPI Number | 1962836957 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 08/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962836957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301060904 (Michigan) | Primary |
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