| Pure Internal Medicine Pllc | |
|
8391 Commerce Rd Ste 110a Commerce Township MI 48382-4489 | |
| (734) 929-5659 | |
| Not Available |
| Full Name | Pure Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8391 Commerce Rd Ste 110a, Commerce Township, Michigan |
| Authorized Official Name and Position | Shyam Mahesh (DOCTOR) |
| Authorized Official Contact | 2486906978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Internal Medicine Pllc 8391 Commerce Rd Ste 110a Commerce Twp MI 48382-4489 Ph: (248) 690-6978 | Pure Internal Medicine Pllc 8391 Commerce Rd Ste 110a Commerce Township MI 48382-4489 Ph: (734) 929-5659 |
| NPI Number | 1922535871 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 10/16/2020 |
| Medicare PECOS PAC ID | 6204101660 |
|---|---|
| Medicare Enrollment ID | O20171011000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922535871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shyam Mahesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962407569 PECOS PAC ID: 1850308131 Enrollment ID: I20060310000437 |
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