Provider Demographics
NPI:1548798432
Name:ISMAIL B. SENDI, MD, PC
Entity Type:Organization
Organization Name:ISMAIL B. SENDI, MD, PC
Other - Org Name:NEW OAKLAND FAMILY CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, HR AND CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JUILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIAPPACASSE
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:248-620-6400
Mailing Address - Street 1:2300 JOLLY OAK RD
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3559
Mailing Address - Country:US
Mailing Address - Phone:517-679-2050
Mailing Address - Fax:
Practice Address - Street 1:2300 JOLLY OAK RD
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3546
Practice Address - Country:US
Practice Address - Phone:517-679-2050
Practice Address - Fax:517-679-2051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)