| Priti Bhardwaj MD PC | |
|
25420 Goddard Rd Taylor MI 48180-6200 | |
| (313) 299-8006 | |
| (313) 299-8009 |
| Full Name | Priti Bhardwaj MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 25420 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Priti Bhardwaj (OFFICE MANAGER) |
| Authorized Official Contact | 3133881666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priti Bhardwaj MD PC 25420 Goddard Rd Taylor MI 48180-6200 Ph: (313) 299-8006 | Priti Bhardwaj MD PC 25420 Goddard Rd Taylor MI 48180-6200 Ph: (313) 299-8006 |
| NPI Number | 1851447692 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 10/04/2011 |
| Medicare PECOS PAC ID | 1052380185 |
|---|---|
| Medicare Enrollment ID | O20040927000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851447692 | NPI | - | NPPES |
| 104332410 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301069863 (Michigan) | Primary |
| Provider Name | Priti Bhardwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205879434 PECOS PAC ID: 1557330610 Enrollment ID: I20040927000676 |
| Provider Name | Julia Lee Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561188 PECOS PAC ID: 2163717893 Enrollment ID: I20160819001779 |
| Provider Name | Clarita Macatula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417313800 PECOS PAC ID: 1052558756 Enrollment ID: I20170426002279 |
| Provider Name | Salah Mansour |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427567569 PECOS PAC ID: 4688949167 Enrollment ID: I20171010000586 |
| Provider Name | Brittany Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053820639 PECOS PAC ID: 4082974704 Enrollment ID: I20180129000000 |
| Provider Name | Calli Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609363431 PECOS PAC ID: 8224393889 Enrollment ID: I20180531001931 |
| Provider Name | Charmaine Adegeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003393695 PECOS PAC ID: 7911250121 Enrollment ID: I20181105001433 |
| Provider Name | Christina Joy Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477021079 PECOS PAC ID: 7810225810 Enrollment ID: I20190829001792 |
| Provider Name | Harrison R Long |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578175410 PECOS PAC ID: 8022428721 Enrollment ID: I20201109002316 |
| Provider Name | Puneet Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548913106 PECOS PAC ID: 1850787920 Enrollment ID: I20220330001098 |
| Provider Name | Kimberly Ann Buatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316660145 PECOS PAC ID: 4284092701 Enrollment ID: I20230615000953 |
| Provider Name | Deepthi Rajan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548045560 PECOS PAC ID: 0840597068 Enrollment ID: I20230905001991 |
| Provider Name | Michele Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750067278 PECOS PAC ID: 1153853619 Enrollment ID: I20241209000654 |
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