Healthcare Provider Details

I. General information

NPI: 1295784296
Provider Name (Legal Business Name): FLINT NEUROSCIENCE CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3231 BEECHER ROAD
FLINT MI
48532
US

IV. Provider business mailing address

G3231 BEECHER ROAD
FLINT MI
48532
US

V. Phone/Fax

Practice location:
  • Phone: 810-230-2491
  • Fax: 810-720-0806
Mailing address:
  • Phone: 810-230-2491
  • Fax: 810-720-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEVINDER K BHRANY
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 810-230-2491