Individual
MADHURA MANSABDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 W BROADWAY ST, SUITE A, MT PLEASANT, MI 48858-2402
(989) 772-9523
(989) 772-9052
Mailing address
411 W BROADWAY ST, SUITE A, MT PLEASANT, MI 48858-2446
(989) 772-9523
(989) 772-9052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301070805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0988830
HEALTHPLUS
MI
01
—
1007076
MCLAREN HEALTH PLAN
MI
01
—
1103710561
BCBSM
MI
01
—
200000008878
PHP COMMERCIAL
MI
05
—
4270238-10
—
MI
05
—
4565207-10
—
MI
Enumeration date
06/08/2006
Last updated
06/26/2012
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