Organization
BAY AREA HEALTH CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDRA SHRESTHA (BILLING MANAGER)
(989) 686-2800
Entity
Organization
Contact information
Practice address
3720 KATALIN CT, BAY CITY, MI 48706-2160
(989) 686-2800
Mailing address
2133 HERITAGE DR, BAY CITY, MI 48706-9461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE4221
RAILROAD MEDICARE
MI
Enumeration date
08/01/2006
Last updated
11/16/2007
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