Healthcare Provider Details

I. General information

NPI: 1932370988
Provider Name (Legal Business Name): ISMAIL B. SENDI, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42669 GARFIELD RD
CLINTON TOWNSHIP MI
48038-5036
US

IV. Provider business mailing address

6549 TOWN CENTER DR SUITE A
CLARKSTON MI
48346-4824
US

V. Phone/Fax

Practice location:
  • Phone: 586-412-5321
  • Fax: 586-412-5327
Mailing address:
  • Phone: 248-620-6400
  • Fax: 248-620-6405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JULIA SCHIAPPACASSE
Title or Position: ASST. DIRECTOR
Credential: MPA
Phone: 248-855-1540