| Dr Kanwar Virender Mendiratta, MD | |
|
26699 W 12 Mile Rd Ste 101, Southfield, MI 48034-7814 | |
| (248) 358-0011 | |
| (248) 358-1491 |
| Full Name | Dr Kanwar Virender Mendiratta |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 26699 W 12 Mile Rd Ste 101, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518978394 | NPI | - | NPPES |
| 111193 | Other | CARE CHOICES | |
| 2906303621 | Other | BLUE CROSS BLUE SHIELD | |
| C1457 | Other | MCARE | |
| 14765 | Other | HEALTH PLAN OF MICHIGAN | |
| 2149224 | Other | AETNA | |
| 3127120 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | KM041292 (Michigan) | Primary |
| Entity Name | Pulmonary, Internal And Emergency Medicine And Radiology Asso |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487192993 PECOS PAC ID: 1254615032 Enrollment ID: O20170222000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kanwar Virender Mendiratta, MD 26699 W 12 Mile Rd Ste 101, Southfield, MI 48034-7814 Ph: (248) 358-0011 | Dr Kanwar Virender Mendiratta, MD 26699 W 12 Mile Rd Ste 101, Southfield, MI 48034-7814 Ph: (248) 358-0011 |
Surinder Mendiratta, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891 | |
Dr. Freddy R Sosa, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439 | |
Thomas A Mladsi, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 29201 Telegraph Rd, Suite 460, Southfield, MI 48034 Phone: 248-206-7511 Fax: 248-206-7455 | |
Kun Kil Yu, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031 | |
Dr. Vilma Drelichman, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286 | |
Dr. Sumner Camisa, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936 | |
Talal Taher Khader, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483 |