| Sase Persaud Md Pc | |
|
314 N Main St Clawson MI 48017-1525 | |
| (124) 857-7060 | |
| (128) 577-0601 |
| Full Name | Sase Persaud Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 314 N Main St, Clawson, Michigan |
| Authorized Official Name and Position | Sase Persaud (OWNER) |
| Authorized Official Contact | 2485770600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sase Persaud Md Pc 2834 Pheasant Ring Dr Rochester Hills MI 48309-2857 Ph: (124) 857-7060 | Sase Persaud Md Pc 314 N Main St Clawson MI 48017-1525 Ph: (124) 857-7060 |
| NPI Number | 1043428626 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183612963 |
|---|---|
| Medicare Enrollment ID | O20040501000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043428626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Sasenarine S Persaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013908573 PECOS PAC ID: 3173511961 Enrollment ID: I20040507000311 |
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