| Xavier Md Pc | |
|
31500 Telegraph Rd Ste 115 Bingham Farms MI 48025-4302 | |
| (248) 621-9200 | |
| Not Available |
| Full Name | Xavier Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 31500 Telegraph Rd Ste 115, Bingham Farms, Michigan |
| Authorized Official Name and Position | Angela Amudha Xavier (PRESIDENT) |
| Authorized Official Contact | 2486219200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xavier Md Pc 6632 Telegraph Rd 204 Bloomfield MI 48301-3012 Ph: () - | Xavier Md Pc 31500 Telegraph Rd Ste 115 Bingham Farms MI 48025-4302 Ph: (248) 621-9200 |
| NPI Number | 1265986806 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 8325308562 |
|---|---|
| Medicare Enrollment ID | O20180207001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265986806 | NPI | - | NPPES |
| 1699124503 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jyothi A. Kadambi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215919840 PECOS PAC ID: 4183754856 Enrollment ID: I20100608000258 |
| Provider Name | Sujata Putatunda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144617846 PECOS PAC ID: 2062714363 Enrollment ID: I20180629001254 |
| Provider Name | Oluwasayo T Akinyosoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588191761 PECOS PAC ID: 1557610524 Enrollment ID: I20210625002278 |
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