Healthcare Provider Details

I. General information

NPI: 1679872949
Provider Name (Legal Business Name): JANMEET SAHOTA, DO PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2011
Last Update Date: 03/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 E MAIN ST
CARSON CITY MI
48811-9741
US

IV. Provider business mailing address

423 E MAIN ST
CARSON CITY MI
48811-9741
US

V. Phone/Fax

Practice location:
  • Phone: 989-584-6320
  • Fax: 989-584-6426
Mailing address:
  • Phone: 989-584-6320
  • Fax: 989-584-6426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JANMEET SINGH SAHOTA
Title or Position: ORGANIZER
Credential: D.O.
Phone: 718-781-0154