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Organization
PULMONARY AND INTERNAL MEDICINE SPECIALISTS, P.C.
Active
Organization
PULMONARY AND INTERNAL MEDICINE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANWAR VIRENDER MENDIRATTA M.D. (PRESIDENT)
(248) 358-0011
Entity
Organization
Contact information
Practice address
26699 W 12 MILE RD, SUITE 201, SOUTHFIELD, MI 48034-1578
(248) 358-0011
(248) 358-1491
Mailing address
26699 W 12 MILE RD, SUITE 201, SOUTHFIELD, MI 48034-1578
(248) 358-0011
(248) 358-1491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F37442
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/10/2006
Last updated
01/05/2015
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