Manohar Atri, MD
Individual provider Active NPI Nephrology Physician · Saginaw, MI
NPI 1346242591 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1346242591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 486605 (MI)
- Practice address
- 4855 Berl Dr
Saginaw, MI 48604-2801 - Phone
- (989) 799-8000
- Fax
- (989) 799-8797
- NPI assigned
- Jun 1, 2005
- Reactivated
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 486605 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beecher Medical Clinic Inc | Nephrology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 486605 | MI | Yes |
Addresses
Primary practice location
4855 Berl Dr
Saginaw, MI 48604-2801
Mailing address
4855 Berl Dr
Saginaw, MI 48604-2801
Phone (989) 799-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1107309722 | Other | MI | BLUE CROSS BLUE SHIELD |
| C3336 | Other | MI | MCARE |
| E82654 | Other | MI | PALMETTO GBA |
| 1078667 | Other | MI | CIGNA |
| 1001269 | Other | MI | MCCLAREN HEALTH PLAN |
| 3127406 | Medicaid | MI | |
| 31814 | Other | MI | PRIORITY HEALTH |
| 383225867991 | Other | MI | COMMUNITY CHOICE |
| 4219281 | Other | MI | AETNA |
| 383225867 | Other | MI | HUMANA |
| 383225867 | Other | MI | TRICARE |
| P64820 | Other | MI | BLUE CARE NETWORK |
| 1107309721 | Other | MI | SAGINAW HEALTH PLAN |
| 3127406 | Other | MI | MOLINA |
| HUMANA CHOICE | Other | MI | 383225867 |
| 1107309721 | Other | MI | HEALTH PLUS |
| 118391 | Other | MI | GREAT LAKES HEALTH PLAN |
| 383225867 | Other | MI | TRICARE FOR LIFE NORTH |
Other providers in Saginaw, MI
- Stacy Athens
- Guinevere Atkins
- Isabella Atkins
- Lacretia Reena Atkins
- Lycia M Atkins
- Mary Onsi Attalla
- Olivia Attie
- Gerald Augustin
- Caitlin Aumann
- Edward Austin
All providers in Saginaw, MI · Nephrology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.