Individual
DR. SURJIT S. BHASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 3500 FIFTEEN MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 977-9936
(586) 268-8158
Mailing address
HENRY FORD HEALTH SYSTEM, 3500 FIFTEEN MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 977-9936
(586) 268-8021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301031358
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301031358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H264410
BLUE CROSS-BLUE CROSS
—
05
—
447345510
—
MI
01
—
SB031358
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
05/17/2013
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