| Mh Medical Pllc | |
|
27177 Lahser Rd Ste 104 Southfield MI 48034-8467 | |
| (248) 353-0882 | |
| (248) 353-0883 |
| Full Name | Mh Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 27177 Lahser Rd Ste 104, Southfield, Michigan |
| Authorized Official Name and Position | Malitha Hettiarachchi (PRESIDENT) |
| Authorized Official Contact | 2484972381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mh Medical Pllc 17177 N Laurel Park Dr Ste 439 Livonia MI 48152-3938 Ph: (734) 462-0340 | Mh Medical Pllc 27177 Lahser Rd Ste 104 Southfield MI 48034-8467 Ph: (248) 353-0882 |
| NPI Number | 1972256386 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 04/24/2023 |
| Medicare PECOS PAC ID | 8820484322 |
|---|---|
| Medicare Enrollment ID | O20220411000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972256386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eriwarawe Hettiarachchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295003564 PECOS PAC ID: 3870755234 Enrollment ID: I20120501000169 |
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