| Samasandrapalya Kiran Md Pc | |
|
3353 Fleckenstein Rd Flint MI 48507-3035 | |
| (810) 720-1790 | |
| (810) 720-1794 |
| Full Name | Samasandrapalya Kiran Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3353 Fleckenstein Rd, Flint, Michigan |
| Authorized Official Name and Position | Sherri Fisher (OFFICE MANAGER) |
| Authorized Official Contact | 8107201790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samasandrapalya Kiran Md Pc 3353 Fleckenstein Rd Flint MI 48507-3035 Ph: (810) 720-1790 | Samasandrapalya Kiran Md Pc 3353 Fleckenstein Rd Flint MI 48507-3035 Ph: (810) 720-1790 |
| NPI Number | 1740490218 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/28/2007 |
| Medicare PECOS PAC ID | 8426019456 |
|---|---|
| Medicare Enrollment ID | O20041022000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740490218 | NPI | - | NPPES |
| 104310422 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | SK063975 (Michigan) | Primary |
| Provider Name | Samasandrapalya R Kiran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912980970 PECOS PAC ID: 9032170063 Enrollment ID: I20041026000183 |
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