Organization
HEMA TALASILA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMA N TALASILA MD (PSYCHIATRIST)
(989) 799-5440
Entity
Organization
Contact information
Practice address
2578 MCLEOD DR N, STE 1, SAGINAW, MI 48604-2859
(989) 799-5440
(989) 799-5651
Mailing address
2578 MCLEOD DR N, STE 1, SAGINAW, MI 48604-2859
(989) 799-5440
(989) 799-5651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801021264
MI
1041C0700X
Clinical Social Worker
6801081105
MI
1041C0700X
Clinical Social Worker
6801082328
MI
174400000X
Specialist
4301406352
MI
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284151000
MAGELLAN
MI
05
—
3184350
—
MI
01
—
P20Z901050
BCBSM
MI
Enumeration date
12/05/2007
Last updated
02/21/2020
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