Jeetender Matharu Md Plc

LBN: Jeetender Matharu Md Plc
Jeetender Matharu Md Plc is an health care organization with primary practice located at 7250 Dixie Hwy Ste 100, Clarkston MI 48346-5108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jeetender Matharu Md Plc can be contacted via phone (248) 620-3500, or through Matharu, Jeetender S via phone (248) 620-3500.

Contact Information

Primary practice address
7250 Dixie Hwy Ste 100 Clarkston MI 48346-5108
Phone: (248) 620-3500
Fax: (248) 620-3503
Website:
Map and Directions
Authorized official contact:
Name: Matharu, Jeetender S Doctor of Medicine (MD)
Phone: (248) 620-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301070179 Michigan

Profile Details

NPI number 1407047780
LBN Legal business name Jeetender Matharu Md Plc
DBA Doing business as
Authorized official Matharu, Jeetender S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 26th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407047780 NPPES
Michigan MEDICAID 4483424

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