Mridha, Debasish
Mridha, Debasish is an sole proprietor health care provider with primary practice located at 4705 Towne Ctr Suite 201, Saginaw MI 48604-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mridha, Debasish can be contacted via phone (989) 799-2770.Contact Information
Primary practice address
4705 Towne Ctr Suite 201
Saginaw MI 48604-2818
Phone: (989) 799-2770
Fax: (989) 799-2737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DM066728 | Michigan |
Profile Details
| NPI number | 1851327159 |
|---|---|
| LBN Legal business name | Mridha, Debasish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jan 10th, 2024 - about last year |
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 | 1851327159 | NPPES |
| Michigan | MEDICAID | 104695041 |
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