| Michigan Headache & Neurological Institute Pc | |
|
3120 Professional Dr Ann Arbor MI 48104-5131 | |
| (734) 677-6000 | |
| (734) 677-2422 |
| Full Name | Michigan Headache & Neurological Institute Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3120 Professional Dr, Ann Arbor, Michigan |
| Authorized Official Name and Position | Scott F Madden (ADMINISTRATOR) |
| Authorized Official Contact | 7346776000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Headache & Neurological Institute Pc 3120 Professional Dr Ann Arbor MI 48104-5131 Ph: (734) 677-6000 | Michigan Headache & Neurological Institute Pc 3120 Professional Dr Ann Arbor MI 48104-5131 Ph: (734) 677-6000 |
| NPI Number | 1982797106 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/12/2019 |
| Medicare PECOS PAC ID | 5597661975 |
|---|---|
| Medicare Enrollment ID | O20031208000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982797106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Shamas Moheyuddin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619942596 PECOS PAC ID: 7517903990 Enrollment ID: I20050707000646 |
| Provider Name | Rinkle Dilip Desai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952636961 PECOS PAC ID: 0547303547 Enrollment ID: I20100129000321 |
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