| Dix-eureka Med Center Pc | |
|
14797 Dix Toledo Rd Southgate MI 48195-2507 | |
| (734) 281-9950 | |
| (734) 281-4998 |
| Full Name | Dix-eureka Med Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14797 Dix Toledo Rd, Southgate, Michigan |
| Authorized Official Name and Position | Sita Ram Kaura (CEO) |
| Authorized Official Contact | 7342819950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dix-eureka Med Center Pc 14797 Dix Toledo Rd Southgate MI 48195-2507 Ph: (734) 281-9950 | Dix-eureka Med Center Pc 14797 Dix Toledo Rd Southgate MI 48195-2507 Ph: (734) 281-9950 |
| NPI Number | 1750434056 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 03/14/2014 |
| Medicare PECOS PAC ID | 4789636291 |
|---|---|
| Medicare Enrollment ID | O20050214000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750434056 | NPI | - | NPPES |
| 700H20090 | Other | MI | BCBS |
| Provider Name | Sita R Kaura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942351820 PECOS PAC ID: 2769434281 Enrollment ID: I20050215000609 |
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