Organization
MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDER P MEDIRATTA M D (OWNER)
(269) 342-0606
Entity
Organization
Contact information
Practice address
1514 W MILHAM AVE, PORTAGE, MI 49024-1296
(269) 342-0606
(269) 342-0919
Mailing address
1514 W MILHAM AVE, PORTAGE, MI 49024-1296
(269) 342-0606
(269) 342-0919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401009051
MI
2084P0800X
Psychiatry Physician
Primary
RM4301052512
MI
Other
Enumeration date
07/05/2007
Last updated
10/09/2008
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