Surgical Specialist Of Michigan Pc

LBN: Surgical Specialist Of Michigan Pc
Surgical Specialist Of Michigan Pc is an health care organization with primary practice located at 21000 E 12 Mile Rd Suite 112, Saint Clair Shores MI 48081-1116. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Surgical Specialist Of Michigan Pc can be contacted via phone (586) 771-8900, or through Sheth, Akash Rushikumar via phone (586) 771-8900.

Contact Information

Primary practice address
21000 E 12 Mile Rd Suite 112 Saint Clair Shores MI 48081-1116
Fax: (586) 771-8901
Website:
Authorized official contact:
Name: Sheth, Akash Rushikumar Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301057707 Michigan

Profile Details

NPI number 1760603484
LBN Legal business name Surgical Specialist Of Michigan Pc
DBA Doing business as
Authorized official Sheth, Akash Rushikumar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Nov 8th, 2011 - 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 1760603484 NPPES
Michigan MEDICAID 453676010
Michigan MEDICAID 453674210

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