Sai K. Sista Md, Pllc | |
44000 W 12 Mile Rd Suite 212 Novi MI 48377-2644 | |
(248) 344-0400 | |
(248) 347-8215 |
Full Name | Sai K. Sista Md, Pllc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 44000 W 12 Mile Rd, Novi, Michigan |
Authorized Official Name and Position | Sai Sista (OWNER PHYSICIAN) |
Authorized Official Contact | 2483440400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sai K. Sista Md, Pllc 44000 W 12 Mile Rd Suite 212 Novi MI 48377-2644 Ph: (248) 344-0400 | Sai K. Sista Md, Pllc 44000 W 12 Mile Rd Suite 212 Novi MI 48377-2644 Ph: (248) 344-0400 |
NPI Number | 1932141306 |
---|---|
Provider Enumeration Date | 06/12/2006 |
Last Update Date | 12/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932141306 | NPI | - | NPPES |
DQ4870 | Other | MI | RAILROAD MEDICARE |
1932141306 | Medicaid | MI | |
100F338440 | Other | MI | BC GROUP |
100F338440 | Other | MI | BCN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 4301034917 (Michigan) | Primary |
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