Provider Demographics
NPI:1124200464
Name:S.S.HANS,M.D.,P.C.
Entity Type:Organization
Organization Name:S.S.HANS,M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SACHINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:HANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-573-8030
Mailing Address - Street 1:43191 DALCOMA DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6308
Mailing Address - Country:US
Mailing Address - Phone:586-573-8030
Mailing Address - Fax:586-573-2504
Practice Address - Street 1:43191 DALCOMA DR STE 101
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-6308
Practice Address - Country:US
Practice Address - Phone:586-573-8030
Practice Address - Fax:586-573-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010355492086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI2290Medicare PIN