Provider Demographics
NPI:1861493348
Name:TAKRITI, MONES (MD)
Entity Type:Individual
Prefix:DR
First Name:MONES
Middle Name:
Last Name:TAKRITI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44555 WOODWARD AVE
Mailing Address - Street 2:SUITE NUMBER 304
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5031
Mailing Address - Country:US
Mailing Address - Phone:248-858-3878
Mailing Address - Fax:248-209-6777
Practice Address - Street 1:44555 WOODWARD AVE
Practice Address - Street 2:SUITE NUMBER 304
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5031
Practice Address - Country:US
Practice Address - Phone:248-858-3878
Practice Address - Fax:248-209-6777
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301047745207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP40816OtherBLUE CARE NETWORK
MI4590700Medicaid
MIM9377002Medicare ID - Type Unspecified
MI4590700Medicaid