DR. KANWAR VIRENDER MENDIRATTA (NPI# 1518978394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518978394 |
| Entity Type | Individual |
| Full Name | DR. KANWAR VIRENDER MENDIRATTA |
| Credential | M.D. |
| Practice Address |
26699 W 12 Mile Rd Suite 201 Southfield MI 48034-1578 |
| Practice Telephone | 2483580011 |
| Practice Fax Number | 2483581491 |
| Mailing Telephone | 2483580011 |
| Mailing Fax Number | 2483581491 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
KM041292 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH PLAN OF MICHIGAN | 14765 | 01 | |
| BLUE CROSS BLUE SHIELD | 2906303621 | 01 | |
| AETNA | 2149224 | 01 | |
| MCARE | C1457 | 01 | |
| CARE CHOICES | 111193 | 01 | |
| MI | 3127120 | 05 |
| Street Address |
26699 W 12 MILE RD SUITE 201 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192993 | Pulmonary, Internal and Emergency Medicine and Radiology Asso | Internal Medicine | 26699 W 12 Mile Rd, Suite 101, Southfield, MI 48034-1578 | 2017-02-03 |
| 1629469416 | Mobile Mri Staffing,llc | Clinic/Center | 26699 W 12 Mile Rd, Suite 106, Southfield, MI 48034-1578 | 2015-02-15 |
| 1295125623 | I Care Therapy LLC | Health Maintenance Organization | 26699 W 12 Mile Rd, Ste 102, Southfield, MI 48034-1578 | 2015-01-22 |
| 1851539357 | Eti Gursel Md PC | Surgery | 26699 W 12 Mile Rd, Suite 201 248-358-1491, Southfield, MI 48034-1578 | 2009-01-22 |
| 1396921094 | Eugenia Adlai | Dentist | 26699 W 12 Mile Rd, Suite 105, Southfield, MI 48034-1578 | 2008-01-14 |
| 1740331701 | Southfield Medical Pharmacy Inc | Pharmacy | 26699 W 12 Mile Rd, Ste 200, Southfield, MI 48034-1578 | 2007-01-16 |
| 1386708295 | Archana Shirishkar | Occupational Therapist | 26699 W 12 Mile Rd, Ste 202, Southfield, MI 48034-1578 | 2006-12-22 |
| 1881758787 | Vivek Shirishkar | Physical Therapist | 26699 W 12 Mile Rd, Ste 202, Southfield, MI 48034-1578 | 2006-12-22 |
| 1275618852 | Maurice A. Frankel Md Pllc | Surgery | 26699 W 12 Mile Rd, Ste 201, Southfield, MI 48034-1578 | 2006-10-25 |
| 1396756185 | Pulmonary and Internal Medicine Specialists, P.C. | Internal Medicine | 26699 W 12 Mile Rd, Suite 201, Southfield, MI 48034-1578 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1831167535 | Kenneth Kar-hon Ho | Internal Medicine | 22250 Providence Dr #403, Southfield, MI 48075 | 2006-03-09 |
| 1487192993 | Pulmonary, Internal and Emergency Medicine and Radiology Asso | Internal Medicine | 26699 W 12 Mile Rd, Suite 101, Southfield, MI 48034-1578 | 2017-02-03 |
| 1780850974 | Salah Fares | Internal Medicine | 27211 Lahser Rd, Ste # 200, Southfield, MI 48034-8469 | 2008-05-07 |
| 1972657260 | Lonnie Joe Jr. | Internal Medicine | 22255 Greenfield Rd, Ste 280, Southfield, MI 48075-3712 | 2007-01-23 |
| 1871677716 | Steven B Rubin Md Pllc | Internal Medicine | 20180 W 12 Mile Rd, Southfield, MI 48076-5412 | 2006-10-25 |
| 1235194291 | Ascension Providence Hospital | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506684 | Night Hawk Sleep Systems, Inc. | Internal Medicine | 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 | 2020-10-22 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
| 1801053244 | Mohamad Al-jarrah Md PC | Internal Medicine | 15830 Fort St Ste 3, Suite 7, Southgate, MI 48195-1348 | 2008-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on DR. KANWAR VIRENDER MENDIRATTA.
| 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.