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NPI Code Detail

MEDICARE: DR. SARATH HEMACHANDRA MD

MEDICARE: DR. SARATH HEMACHANDRA MD
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
12084P0800XPsychiatry Physician4301033545MI

General Provider Information

NPI Number : 1710055637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARATH HEMACHANDRA MD
Provider Business Mailing Address
First Line : 208 WOODWIND DR
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-2172
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 43740 N GROESBECK HWY
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1139
Country : US
Telephone Number : 586-469-7629
Fax Number : 586-469-5404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SARATH HEMACHANDRA MD” Practice Location

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