Organization
RAMESH K MOHINDRA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH K MOHINDRA M.D. (PRESIDENT)
(734) 779-2123
Entity
Organization
Contact information
Practice address
14555 LEVAN RD, SUITE 112, LIVONIA, MI 48154-5083
(734) 779-2123
Mailing address
14555 LEVAN RD, SUITE 112, LIVONIA, MI 48154-5083
(734) 779-2123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301033586
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829730
MEDICARE PLUS BLUE
MI
01
—
1108238712
BCBS OF MI
MI
Enumeration date
03/16/2007
Last updated
03/19/2008
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