Organization
PREMIER NEUROPSYCHIATRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKESH SANGHADIA M.D. (PRESIDENT)
(269) 552-3900
Entity
Organization
Contact information
Practice address
5930 LOVERS LANE, PORTAGE, MI 49002
(269) 552-3900
(269) 488-3930
Mailing address
5930 LOVERS LANE, PORTAGE, MI 49002
(269) 552-3900
(269) 488-3930
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301071405
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366550246
NPI
—
05
—
4396230
—
MI
Enumeration date
07/16/2010
Last updated
12/21/2010
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