Provider Demographics
NPI:1457441461
Name:HEMADY, NIKHIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:
Last Name:HEMADY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 W HURON ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1601
Mailing Address - Country:US
Mailing Address - Phone:248-857-7432
Mailing Address - Fax:248-857-7141
Practice Address - Street 1:461 W HURON ST
Practice Address - Street 2:SUITE 107
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1601
Practice Address - Country:US
Practice Address - Phone:248-857-7432
Practice Address - Fax:248-857-7141
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067423207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4385325Medicaid
MI0N19490Medicare ID - Type Unspecified
MI4385325Medicaid