MEDICARE: DR. GURTEJ SINGH MANN 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
1	2084P0800X	Psychiatry Physician	4301110535	MI
2	2084P0800X	Psychiatry Physician	T5384	TX

General Provider Information

NPI Number	:	1699125625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GURTEJ SINGH MANN M.D.

Provider Business Mailing Address
First Line	:	1000 HOUGHTON AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-5303
Country	:	US
Telephone Number	:	989-583-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	11455 FALLBROOK DR STE 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-4268
Country	:	US
Telephone Number	:	832-422-7777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	03/25/2025

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