Healthcare Provider Details

I. General information

NPI: 1013472000
Provider Name (Legal Business Name): BETTER SEX INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 HAYNES ST STE 300
BIRMINGHAM MI
48009-6775
US

IV. Provider business mailing address

800 PARK LN
GROSSE POINTE PARK MI
48230-1853
US

V. Phone/Fax

Practice location:
  • Phone: 734-604-2278
  • Fax:
Mailing address:
  • Phone: 586-221-3142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DINESH J TELANG
Title or Position: PHYSICIAN MEMBER
Credential: MD
Phone: 586-221-3142