Individual
DR. KANWAR VIRENDER MENDIRATTA
Active
Individual
DR. KANWAR VIRENDER MENDIRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
KM041292
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111193
CARE CHOICES
—
01
—
14765
HEALTH PLAN OF MICHIGAN
—
01
—
2149224
AETNA
—
01
—
2906303621
BLUE CROSS BLUE SHIELD
—
05
—
3127120
—
MI
01
—
C1457
MCARE
—
Enumeration date
08/10/2006
Last updated
06/11/2024
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