Provider Demographics
NPI:1508006529
Name:DMC
Entity Type:Organization
Organization Name:DMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERN
Authorized Official - Prefix:MR
Authorized Official - First Name:SARWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-989-7235
Mailing Address - Street 1:80 E HANCOCK ST
Mailing Address - Street 2:APT#1305
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:80 E HANCOCK ST
Practice Address - Street 2:APT#1305
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1311
Practice Address - Country:US
Practice Address - Phone:313-989-7235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1335137284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital