Individual
AMIT R MOHINDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14555 LEVAN RD, STE. 112, LIVONIA, MI 48154-5083
(734) 779-2123
(734) 779-2163
Mailing address
14555 LEVAN RD, STE. 112, LIVONIA, MI 48154-5083
(734) 779-2123
(734) 779-2163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301074778
MI
207RH0000X
Hematology (Internal Medicine) Physician
Primary
4301074778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P17890
MEDICARE PLUS BLUE
MI
05
—
104885126
—
MI
01
—
1108238712
BCBS OF MI
MI
Enumeration date
01/28/2006
Last updated
10/24/2023
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