Provider Demographics
NPI:1932760550
Name:SEMSARIEH, BITA (MD)
Entity Type:Individual
Prefix:
First Name:BITA
Middle Name:
Last Name:SEMSARIEH
Suffix:
Gender:F
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:ONE GENESYS PARKWAY
Mailing Address - Street 2:GME ROOM 4626
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439
Mailing Address - Country:US
Mailing Address - Phone:810-606-5986
Mailing Address - Fax:
Practice Address - Street 1:ONE GENESYS PARKWAY
Practice Address - Street 2:GME ROOM 4626
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439
Practice Address - Country:US
Practice Address - Phone:810-606-5986
Practice Address - Fax:810-606-5636
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351045535207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine