| Premier Neuropsychiatry Plc | |
|
5930 Lovers Lane Portage MI 49002 | |
| (269) 552-3900 | |
| (269) 488-3930 |
| Full Name | Premier Neuropsychiatry Plc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5930 Lovers Lane, Portage, Michigan |
| Authorized Official Name and Position | Mukesh Sanghadia (PRESIDENT) |
| Authorized Official Contact | 2695523900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Neuropsychiatry Plc 5930 Lovers Lane Portage MI 49002 Ph: (269) 552-3900 | Premier Neuropsychiatry Plc 5930 Lovers Lane Portage MI 49002 Ph: (269) 552-3900 |
| NPI Number | 1174836316 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174836316 | NPI | - | NPPES |
| 4396230 | Medicaid | MI | |
| 1366550246 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301071405 (Michigan) | Primary |
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› Verified 8 days ago
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