| Bi-county Health Care Pc | |
|
116 W 8 Mile Rd Hazel Park MI 48030-2433 | |
| (248) 541-7606 | |
| (248) 541-7197 |
| Full Name | Bi-county Health Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 W 8 Mile Rd, Hazel Park, Michigan |
| Authorized Official Name and Position | Kiranmayi Surapaneni (MEMBER) |
| Authorized Official Contact | 2485417606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bi-county Health Care Pc 116 W 8 Mile Rd Hazel Park MI 48030-2433 Ph: (248) 541-7606 | Bi-county Health Care Pc 116 W 8 Mile Rd Hazel Park MI 48030-2433 Ph: (248) 541-7606 |
| NPI Number | 1023287356 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 03/05/2010 |
| Medicare PECOS PAC ID | 5890873269 |
|---|---|
| Medicare Enrollment ID | O20080425000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023287356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301080888 (Michigan) | Primary |
| Provider Name | Kiranmayi P Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376587683 PECOS PAC ID: 3779546197 Enrollment ID: I20041108000120 |
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