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Organization
SHISHIR SENAPATI MD PC
Active
Organization
SHISHIR SENAPATI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHISHIR K SENAPATI MD (PHYSICIAN OWNER)
(586) 284-9444
Entity
Organization
Contact information
Practice address
43211 DALCOMA DR, #3, CLINTON TWP, MI 48038-6309
(586) 263-9355
(586) 979-9810
Mailing address
43211 DALCOMA DR, #3, CLINTON TWP, MI 48038-6309
(586) 263-9355
(586) 263-6835
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
55066528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10158860001
WELLNESS PLAN
—
01
—
1105015402
BCBS
—
01
—
135474
GREAT LAKES
—
05
—
480005810
—
MI
01
—
7995388
AETNA
—
01
—
867733
CAPE HEALTH PLAN
—
01
—
H33108
HAP
—
01
—
NC011918
MCARE PPO
—
01
—
P00283142
MEDICARE TRAVELER
—
Enumeration date
10/24/2006
Last updated
07/08/2015
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