Organization
DIX-EUREKA MED CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SITA RAM KAURA MD (CEO)
(734) 281-9950
Entity
Organization
Contact information
Practice address
14797 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 281-9950
(734) 281-4998
Mailing address
14797 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 281-9950
(734) 281-4998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H20090
BCBS
MI
Enumeration date
01/19/2007
Last updated
03/14/2014
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