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NPI Code Detail

MEDICARE: ISMAIL B. SENDI, MD, PC

MEDICARE: ISMAIL B. SENDI, MD, PC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1548798432
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISMAIL B. SENDI, MD, PC
Provider Business Mailing Address
First Line : 2300 JOLLY OAK RD
Second Line :
City : OKEMOS
State : MI
Zip : 48864-3559
Country : US
Telephone Number : 517-679-2050
Fax Number :
Provider Business Practice Location Address
First Line : 2300 JOLLY OAK RD
Second Line :
City : OKEMOS
State : MI
Zip : 48864-3546
Country : US
Telephone Number : 517-679-2050
Fax Number : 517-679-2051
Authorized Official
Title or Position : DIRECTOR, HR AND CREDENTIALING
Name : JUILA SCHIAPPACASSE
Credential : MPA
Telephone Number : 248-620-6400
Provider Enumeration Date : 05/23/2017
Last Update Date : 10/28/2019

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