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NPI Code Detail

MEDICARE: ISMAIL B. SENDI, MD PC

MEDICARE: ISMAIL B. SENDI, MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1407545718
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISMAIL B. SENDI, MD PC
Provider Business Mailing Address
First Line : 26545 AMERICAN DR
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-6115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8225 MOORSBRIDGE RD
Second Line :
City : PORTAGE
State : MI
Zip : 49024-7845
Country : US
Telephone Number : 800-395-3223
Fax Number :
Authorized Official
Title or Position : SENIOR BILLING AND CRED. SPECIALIST
Name : JILLIAN JONES
Credential : MS
Telephone Number : 800-395-3223
Provider Enumeration Date : 05/03/2023
Last Update Date : 09/20/2023

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