| Geetha Dhatreecharan, MD | |
|
677a East Main, Centreville, MI 49032 | |
| (269) 467-1000 | |
| Not Available |
| Full Name | Geetha Dhatreecharan |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 677a East Main, Centreville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528210556 | NPI | - | NPPES |
| 1708146 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301091034 (Michigan) | Primary |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
| Entity Name | Western Michigan University School Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316212343 PECOS PAC ID: 7517113954 Enrollment ID: O20120817000243 |
| Entity Name | Michigan Clinical Research Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528453487 PECOS PAC ID: 3779894779 Enrollment ID: O20150617001953 |
| Mailing Address | Practice Location Address |
|---|---|
| Geetha Dhatreecharan, MD 677a East Main, Centreville, MI 49032 Ph: (269) 467-1000 | Geetha Dhatreecharan, MD 677a East Main, Centreville, MI 49032 Ph: (269) 467-1000 |
Dr. Gagandeep Singh Rana, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1000 Fax: 269-467-4238 |