| Mohammad Sunbulli Md Pllc | |
|
18263 E 10 Mile Rd Suite D Roseville MI 48066-5805 | |
| (586) 778-4950 | |
| (586) 778-4952 |
| Full Name | Mohammad Sunbulli Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18263 E 10 Mile Rd, Roseville, Michigan |
| Authorized Official Name and Position | Mohammad Sunbulli (PHYSICIAN) |
| Authorized Official Contact | 3133489926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Sunbulli Md Pllc 25801 Kelly Rd Suite 1 Roseville MI 48066-4467 Ph: (248) 761-1035 | Mohammad Sunbulli Md Pllc 18263 E 10 Mile Rd Suite D Roseville MI 48066-5805 Ph: (586) 778-4950 |
| NPI Number | 1750792388 |
|---|---|
| Provider Enumeration Date | 05/16/2014 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 3375767924 |
|---|---|
| Medicare Enrollment ID | O20140620002107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750792388 | NPI | - | NPPES |
| 1841571544 | Other | MI | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad F Sunbulli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841571544 PECOS PAC ID: 6507011525 Enrollment ID: I20130225000022 |
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