Sunny Pediatrics And Family Medicine | |
5820 N Canton Center Rd Ste 186 Canton MI 48187-2651 | |
(734) 720-0976 | |
Not Available |
Full Name | Sunny Pediatrics And Family Medicine |
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Speciality | Pediatrics |
Location | 5820 N Canton Center Rd Ste 186, Canton, Michigan |
Authorized Official Name and Position | Sana Syed (OWNER) |
Authorized Official Contact | 7347200976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunny Pediatrics And Family Medicine 5820 N Canton Center Rd Ste 186 Canton MI 48187-2651 Ph: (734) 720-0976 | Sunny Pediatrics And Family Medicine 5820 N Canton Center Rd Ste 186 Canton MI 48187-2651 Ph: (734) 720-0976 |
NPI Number | 1295473791 |
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Provider Enumeration Date | 05/24/2022 |
Last Update Date | 11/06/2024 |
Medicare PECOS PAC ID | 8921488552 |
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Medicare Enrollment ID | O20220629001121 |
Identifier | Type | State | Issuer |
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1295473791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Provider Name | Sana Syed |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1750677233 PECOS PAC ID: 2163648296 Enrollment ID: I20140728000245 |
Provider Name | Brooke Wanshon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588013973 PECOS PAC ID: 4486059920 Enrollment ID: I20210823001302 |
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