| Midwest Hospitalists | |
|
1000 Harrington St Mount Clemens MI 48043-2920 | |
| (586) 493-8000 | |
| Not Available |
| Full Name | Midwest Hospitalists |
|---|---|
| Speciality | Hospitalist |
| Location | 1000 Harrington St, Mount Clemens, Michigan |
| Authorized Official Name and Position | Dheeraj Thammineni (OWNER/PROVIDER) |
| Authorized Official Contact | 2489286900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Hospitalists Po Box 143 Troy MI 48099-0143 Ph: (586) 493-8000 | Midwest Hospitalists 1000 Harrington St Mount Clemens MI 48043-2920 Ph: (586) 493-8000 |
| NPI Number | 1073220745 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/22/2022 |
| Medicare PECOS PAC ID | 4789054370 |
|---|---|
| Medicare Enrollment ID | O20221222001266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073220745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Dheeraj Thammineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710115969 PECOS PAC ID: 6406041672 Enrollment ID: I20101112001065 |
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