Provider Demographics
NPI:1639105760
Name:SMITA BIJLANI MD PC
Entity Type:Organization
Organization Name:SMITA BIJLANI MD PC
Other - Org Name:ROCHESTER ENDOCRINOLOGY & DIABETES CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIJLANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-853-7270
Mailing Address - Street 1:135 BARCLAY CIR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4599
Mailing Address - Country:US
Mailing Address - Phone:248-853-7270
Mailing Address - Fax:248-853-7230
Practice Address - Street 1:135 BARCLAY CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4599
Practice Address - Country:US
Practice Address - Phone:248-853-7270
Practice Address - Fax:248-853-7230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6551339OtherMEDICAID OF CALIFORNIA
MI110F324280OtherBCBS OF MI GROUP #
MI1639105760Medicaid
MI110F324280OtherBCN
MIDD9856OtherRAILROAD MEDICARE
MI110F324280OtherBCN