MEDICARE: SMITA BIJLANI 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	DD9856	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	110F324280	OTHER	MI	BCBS OF MI GROUP #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	110F324280	OTHER	MI	BCN

General Provider Information

NPI Number	:	1639105760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITA BIJLANI MD PC

Provider Business Mailing Address
First Line	:	135 BARCLAY CIR
Second Line	:	SUITE 104
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4599
Country	:	US
Telephone Number	:	248-853-7270
Fax Number	:	248-853-7230

Provider Business Practice Location Address
First Line	:	135 BARCLAY CIR
Second Line	:	SUITE 104
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4599
Country	:	US
Telephone Number	:	248-853-7270
Fax Number	:	248-853-7230

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SMITA BIJLANI
Credential	:	MD
Telephone Number	:	248-853-7270

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	05/05/2020

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Directions to “SMITA BIJLANI MD PC ” Practice Location

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