Meridian Medical PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MERIDIAN MEDICAL PLLC

Doing business as

Meridian Clinic PC

Practice address

25650 Outer Dr
Suite 400
Lincoln Park, MI 48146-2096

Phone

(313) 383-9400

Fax

(313) 383-7163

NPI assigned

Feb 11, 2009

Last updated

Apr 10, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ram Gunabalan, MDNPI 1710019955

Title

Manager

Phone

(313) 383-9400

Specialties & licenses 1

Addresses

Other names 1

• Meridian Clinic PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ram Gunabalan, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1710019955
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1447499694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30781 STEPHENSON HWY",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-583-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 OUTER DR",
            "address_2": "SUITE 400",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462096",
            "telephone_number": "313-383-9400",
            "fax_number": "313-383-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-383-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Clinic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yasmin Melara
• Tiffany Nicole Merck
• Douglas Merenda, LRN
• Katherine Grinenko Metcalf, NP
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• Metro Urgent Care
• Metro Urgent Care & Family Medical Center PC
• Metroplex Wellness Centre, Inc.

• Multi-Specialty Clinic/Center in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.