| Surinder Mendiratta Pllc | |
|
20905 Greenfield Rd Ste 502 Southfield MI 48075-5360 | |
| (248) 395-2888 | |
| Not Available |
| Full Name | Surinder Mendiratta Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20905 Greenfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Surinder Mendiratta (OWNER) |
| Authorized Official Contact | 2483952888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surinder Mendiratta Pllc Po Box 44047 Detroit MI 48244-0047 Ph: (248) 395-2888 | Surinder Mendiratta Pllc 20905 Greenfield Rd Ste 502 Southfield MI 48075-5360 Ph: (248) 395-2888 |
| NPI Number | 1588874960 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 7618052614 |
|---|---|
| Medicare Enrollment ID | O20080315000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588874960 | NPI | - | NPPES |
| SM060904 | Other | MI | LICENSE |
| 1106341161 | Other | MI | BLUECROSS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | SM060904 (Michigan) | Primary |
| Provider Name | Surinder Mendiratta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003847617 PECOS PAC ID: 1254416241 Enrollment ID: I20080315000036 |
| Provider Name | Melissa Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912282096 PECOS PAC ID: 5496913923 Enrollment ID: I20120229000790 |
| Provider Name | Zahera Husaini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831591551 PECOS PAC ID: 7618294190 Enrollment ID: I20150320001297 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |