| 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 |
|---|---|
| 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 |
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