PREMIER MEDICAL CLINICS PC (NPI# 1740434851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740434851 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL CLINICS PC |
| Practice Address |
1165 S Linden Rd Flint MI 48532-3406 |
| Practice Telephone | 8107325400 |
| Practice Fax Number | 8107331624 |
| Mailing Telephone | 8107325400 |
| Mailing Fax Number | 8107331624 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | ETHIRAJ G RAJ (DIRECTOR) |
| Authorized Official Telephone | 8107325400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1165 S LINDEN RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376532556 | Ethiraj Govinda Raj | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2005-10-19 |
| 1639451693 | J M Hilliard | Physician Assistant | 1165 S Linden Rd, Flint, MI 48532-3406 | 2011-09-15 |
| 1063790467 | Sagar Mallikethi Lepakshi Reddy | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532 | 2011-08-02 |
| 1578898698 | Ct Center of Flint, Pllc | Clinic/Center | 1165 S Linden Rd, Flint, MI 48532-3406 | 2009-10-07 |
| 1982834826 | Ankush Moza | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2009-07-24 |
| 1457586083 | Great Lakes Teleradiology Ventures LLC | Specialist | 1165 S Linden Rd, Ste. B, Flint, MI 48532 | 2009-05-27 |
| 1790949741 | Sherezade Khambatta | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2008-07-17 |
| 1821272840 | David Auld Howell | Physician Assistant | 1165 S Linden Rd, Suite A, Flint, MI 48532-3406 | 2007-12-27 |
| 1780724468 | Mid-michigan Cardiology Associates Plc | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2007-02-08 |
| 1205842242 | Lakshmana Rao Ayyagari | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275695587 | Michigan Cardiology PC | Internal Medicine | G 1386 South Linden, Flint, MI 48532 | 2006-12-14 |
| 1437178571 | Cyrus Farrehi | Internal Medicine | 1116 S Linden Rd, Suite 14, Flint, MI 48532 | 2006-07-19 |
| 1750322236 | Sudarsan Misra | Internal Medicine | G3231 Beecher Rd, Flint, MI 48532-3615 | 2006-06-08 |
| 1801865019 | Robert M Cleary Jr. | Internal Medicine | 2222 S Linden Rd, Suite A, Flint, MI 48532-5475 | 2006-03-17 |
| 1013984269 | Hameem Changezi | Internal Medicine | 5084 Villa Linde Pkwy, Suite 6, Flint, MI 48532-3422 | 2006-03-07 |
| 1548235369 | Samir Aqel Elian | Internal Medicine | 4455 Town Center Pkwy, Suite A, Flint, MI 48532-3425 | 2006-02-23 |
| 1629053996 | Farouk M Belal | Internal Medicine | 1286 S Linden Rd, Ste A, Flint, MI 48532-3457 | 2005-12-09 |
| 1659368660 | Wayne J Breece | Internal Medicine | 4040 S Linden Rd, Flint, MI 48507-2936 | 2005-10-04 |
| 1619964699 | Abdul M.a. Hasnie | Internal Medicine | 5100 Gateway Ctr, Flint, MI 48507-3927 | 2005-10-04 |
| 1417944497 | George S Predeteanu | Internal Medicine | 5100 Gateway Centre, Flint, MI 48507-3927 | 2005-10-04 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.