| Synergy Medical | |
|
9216 Middlebelt Rd Livonia MI 48150-4036 | |
| (734) 427-3500 | |
| (734) 427-9234 |
| Full Name | Synergy Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 9216 Middlebelt Rd, Livonia, Michigan |
| Authorized Official Name and Position | Hetel A Gandhi (CEO/MD) |
| Authorized Official Contact | 2482524714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Medical 9216 Middlebelt Rd Livonia MI 48150-4036 Ph: (734) 427-3500 | Synergy Medical 9216 Middlebelt Rd Livonia MI 48150-4036 Ph: (734) 427-3500 |
| NPI Number | 1871957878 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 05/16/2016 |
| Medicare PECOS PAC ID | 4284924945 |
|---|---|
| Medicare Enrollment ID | O20160608001388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871957878 | NPI | - | NPPES |
| 1396754453 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301077074 (Michigan) | Primary |
| Provider Name | Hetal A Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396754453 PECOS PAC ID: 0547155368 Enrollment ID: I20040219000435 |
| Provider Name | Jennifer A Cockels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245691914 PECOS PAC ID: 7911290556 Enrollment ID: I20161010000900 |
| Provider Name | Katie E Simkow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770305 PECOS PAC ID: 6002164944 Enrollment ID: I20180808002893 |
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