S. H. Raythatha Md Pc | |
4672 Hill St Cass City MI 48726-1028 | |
(989) 872-5010 | |
(989) 872-9942 |
Full Name | S. H. Raythatha Md Pc |
---|---|
Speciality | Family Medicine |
Location | 4672 Hill St, Cass City, Michigan |
Authorized Official Name and Position | Surendra Haridas Raythatha (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 9898725010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S. H. Raythatha Md Pc 4672 Hill St Cass City MI 48726-1028 Ph: (989) 872-5010 | S. H. Raythatha Md Pc 4672 Hill St Cass City MI 48726-1028 Ph: (989) 872-5010 |
NPI Number | 1700886231 |
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Provider Enumeration Date | 07/27/2005 |
Last Update Date | 08/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700886231 | NPI | - | NPPES |
0790012 | Other | MI | BLUE CROSS BLUE SHIELD |
2763572 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | SR040618 (Michigan) | Primary |