Provider Demographics
NPI:1326049537
Name:HIREMATH, ANAND N (MD)
Entity Type:Individual
Prefix:
First Name:ANAND
Middle Name:N
Last Name:HIREMATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16407 SOUTHFIELD RD STE 207
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2571
Mailing Address - Country:US
Mailing Address - Phone:313-271-3000
Mailing Address - Fax:313-271-3003
Practice Address - Street 1:16407 SOUTHFIELD RD STE 207
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2571
Practice Address - Country:US
Practice Address - Phone:313-271-3000
Practice Address - Fax:313-271-3003
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2019-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301064516207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110Q26434OtherBCBS
MI2652OtherCAPE HEALTH PLAN
MI110086587 C30371OtherTRAVELERS MEDICARE
MI101295OtherGREAT LAKES HEALTH PLAN
MI204980OtherFEDERAL BLACK LUNG
MIP89830 G02484OtherBLUE CARE NETWORK
MIC5235OtherM-CARE
MI107923OtherCARE CHOICES
MI4241512Medicaid
MI4481492OtherAETNA
MI101295OtherGREAT LAKES HEALTH PLAN
MIP89830 G02484OtherBLUE CARE NETWORK