| Sudhir Lingnurkar Md Plc | |
|
11885 E 12 Mile Rd Ste 204a Warren MI 48093-3474 | |
| (586) 558-6000 | |
| Not Available |
| Full Name | Sudhir Lingnurkar Md Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11885 E 12 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Sudhir V Lingnurkar (OWNER) |
| Authorized Official Contact | 5865586000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudhir Lingnurkar Md Plc 11885 E 12 Mile Rd Ste 204a Warren MI 48093-3474 Ph: (586) 558-6000 | Sudhir Lingnurkar Md Plc 11885 E 12 Mile Rd Ste 204a Warren MI 48093-3474 Ph: (586) 558-6000 |
| NPI Number | 1770822306 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 05/30/2013 |
| Medicare PECOS PAC ID | 6901044031 |
|---|---|
| Medicare Enrollment ID | O20130603000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770822306 | NPI | - | NPPES |
| 0E03866 | Other | MI | BCBS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301052185 (Michigan) | Primary |
| Provider Name | Sudhir Lingnurkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316905102 PECOS PAC ID: 8325194491 Enrollment ID: I20100730000691 |
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