Healthcare Provider Details

I. General information

NPI: 1508847906
Provider Name (Legal Business Name): COLON AND RECTAL SURGERY CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 01/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 CAPITAL AVE SW STE A
BATTLE CREEK MI
49015-9411
US

IV. Provider business mailing address

3770 CAPITAL AVE SW STE A
BATTLE CREEK MI
49015-9411
US

V. Phone/Fax

Practice location:
  • Phone: 269-441-1771
  • Fax: 269-441-1773
Mailing address:
  • Phone: 269-441-1771
  • Fax: 269-441-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAHESH C KARAMCHANDANI
Title or Position: PRESIDENT
Credential: MD
Phone: 269-441-1771