Organization
SUHASINI S MISTRY MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DARST (OFFICE MANAGER)
(734) 425-5320
Entity
Organization
Contact information
Practice address
18420 FARMINGTON RD, LIVONIA, MI 48152-3588
(734) 425-5320
(734) 425-6212
Mailing address
18420 FARMINGTON RD, LIVONIA, MI 48152-3588
(734) 425-5320
(734) 425-6212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
047972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2826930
—
MI
01
—
OH28401
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/19/2013
Last updated
04/29/2014
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