Mewada, Manilal O

Mewada, Manilal O is an sole proprietor health care provider with primary practice located at 4001 Walli Strasse Suite C, Burton MI 48509-1729. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Mewada, Manilal O can be contacted via phone (810) 743-5400.

Contact Information

Primary practice address
4001 Walli Strasse Suite C Burton MI 48509-1729
Phone: (810) 743-5400
Fax: (810) 743-5474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301041950 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301041950 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MM041950 Michigan

Profile Details

NPI number 1992899546
LBN Legal business name Mewada, Manilal O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Feb 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992899546 NPPES
Michigan MEDICAID 1566962
Michigan Other 1602508232

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