Provider Demographics
NPI:1578913414
Name:LOW COST MEDICAL CLINICS
Entity Type:Organization
Organization Name:LOW COST MEDICAL CLINICS
Other - Org Name:LCMEDICALCLINICS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:S
Authorized Official - Last Name:BHAGWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-996-5025
Mailing Address - Street 1:3001 CANIFF ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3018
Mailing Address - Country:US
Mailing Address - Phone:313-334-5159
Mailing Address - Fax:313-305-7295
Practice Address - Street 1:3001 CANIFF ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3018
Practice Address - Country:US
Practice Address - Phone:313-334-5159
Practice Address - Fax:313-305-7295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301053461208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty