Organization
MINDSHAPE CLINIC PLC
Active
Other names
MindShape Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN KHAN (MEDICAL DIRECTOR)
(515) 650-3031
Entity
Organization
Contact information
Practice address
2560 LYNWOOD DR STE 3, TROY, MI 48083-5681
(515) 650-3031
Mailing address
2560 LYNWOOD DR, TROY, MI 48083-5681
(515) 650-3031
(515) 219-4772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00427241
—
NC
05
—
7100785550
—
KY
Enumeration date
09/29/2023
Last updated
12/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us