Mendiratta, Kanwar Virender
Mendiratta, Kanwar Virender is an individual health care provider with primary practice located at 26699 W 12 Mile Rd Ste 101 , Southfield MI 48034-7814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mendiratta, Kanwar Virender can be contacted via phone (248) 358-0011.Contact Information
Primary practice address
26699 W 12 Mile Rd Ste 101
Southfield MI 48034-7814
Phone: (248) 358-0011
Fax: (248) 358-1491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | KM041292 | Michigan |
Profile Details
| NPI number | 1518978394 |
|---|---|
| LBN Legal business name | Mendiratta, Kanwar Virender |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 11th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518978394 | NPPES |
| Other | 111193 | CARE CHOICES | |
| Other | 2906303621 | CARE CHOICES | |
| Other | C1457 | CARE CHOICES | |
| Other | 14765 | CARE CHOICES | |
| Other | 2149224 | CARE CHOICES | |
| MEDICAID | 3127120 | CARE CHOICES |
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