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NPI Code Detail

MEDICARE: DR. MIRA PARKHIE SINHA M.D.

MEDICARE: DR. MIRA PARKHIE SINHA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMS4301082738MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H54294OTHERMIHAP
20814160OTHERMIBLUE CARE NETWORK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40808141601OTHERMIBCBS
516988OTHERMIM-CARE

General Provider Information

NPI Number : 1417069030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRA PARKHIE SINHA M.D.
Provider Business Mailing Address
First Line : 3174 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1947
Country : US
Telephone Number : 734-971-1073
Fax Number : 734-971-8545
Provider Business Practice Location Address
First Line : 3174 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1947
Country : US
Telephone Number : 734-971-1073
Fax Number : 734-971-8545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/14/2021

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Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
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Practice Fax:
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1427168913 — DR. JERRY SAMUEL WALDEN M.D.
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3174 PACKARD ST
ANN ARBOR, MI
48108-1947
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Practice Fax: 734-971-8545
1790843092 — RAVI ALEXANDER VADLAMUDI M.D.
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3174 PACKARD ST
ANN ARBOR, MI
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Practice Fax: 734-971-8545
1881720266 — MS. AMY LYNN RENDON LMSW
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3174 PACKARD ST
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1942414701 — MS. KAREN KRAUSE KOEPPE R.D.
Practice Location Address:
3174 PACKARD ST
ANN ARBOR, MI
48108-1947
Practice Phone: 734-971-1073
Practice Fax: 734-971-8545

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