Provider Demographics
NPI:1821269879
Name:ISMAIL B. SENDI, MD, PC
Entity Type:Organization
Organization Name:ISMAIL B. SENDI, MD, PC
Other - Org Name:NEW OAKLAND CHILD-ADOLESCENT & FAMILY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, HR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIA
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 1:6549 TOWN CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346
Mailing Address - Country:US
Mailing Address - Phone:248-620-6400
Mailing Address - Fax:248-620-6405
Practice Address - Street 1:32961 MIDDLEBELT ROAD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-855-1540
Practice Address - Fax:248-855-2481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1609882067Medicaid
MI1609882067Medicaid
0P38580Medicare PIN