Provider Demographics
NPI: | 1144764853 |
---|---|
Name: | ISMAIL B. SENDI, MD PC |
Entity Type: | Organization |
Organization Name: | ISMAIL B. SENDI, MD PC |
Other - Org Name: | NEW OAKLAND CHILD-ADOLESCENT AND FAMILY CENTER |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | DIRECTOR OF HR/CREDENTIALING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JULIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SCHIAPPACASSE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MPA |
Authorized Official - Phone: | 248-855-1540 |
Mailing Address - Street 1: | 2401 S LINDEN RD |
Mailing Address - Street 2: | |
Mailing Address - City: | FLINT |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48532-9800 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2401 S LINDEN RD |
Practice Address - Street 2: | |
Practice Address - City: | FLINT |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48532-9800 |
Practice Address - Country: | US |
Practice Address - Phone: | 248-620-6400 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-12-14 |
Last Update Date: | 2016-12-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |