MICHIGAN NEUROLOGY PC NPI 1164636551

NPI Information

NPI: 1164636551
Provider Name: MICHIGAN NEUROLOGY PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5154 MILLER RD STE I
FLINT, MI
ZIP 48507
Phone: (810) 720-7801
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MICHIGAN NEUROLOGY PC is a primary care clinic center in Flint, MI. MICHIGAN NEUROLOGY PC NPI is 1164636551. The provider is registered as an organization entity type.

The provider's business location address is:

5154 MILLER RD STE I
FLINT, MI
ZIP 48507-069
Phone: (810) 720-7801
Fax: (810) 720-7803

The provider's authorized official is Ramesh L Chheda .
The authorized official title is President and has the following contact phone number (810) 720-7801.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	4301045264	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101	OTHER	MICHIGAN	COMMUNITY CHOICE
2	=========	OTHER	MICHIGAN	TAX ID
3	B45420	MEDICARE UPIN	MICHIGAN
4	0P24510	MEDICARE PIN	MICHIGAN
5	3512502562	OTHER	MICHIGAN	HEALTH PLUS
6	1001175	OTHER	MICHIGAN	MCLAREN
7	4301045264	OTHER	MICHIGAN	STATE LIC
8	0P24500	MEDICARE PIN	MICHIGAN
9	3502502562	OTHER	MICHIGAN	BC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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