Premnath Alfred, M.D
Individual provider Active NPI Family Medicine Physician · Burton, MI
NPI 1487961439 · NPPES record last updated Sep 10, 2010
Key facts
- NPI
- 1487961439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301095953 (MI)
- Practice address
- 1460 N Center Rd
Burton, MI 48509-1429 - Phone
- (810) 715-4300
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095953 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301095953 | MI | Yes |
Addresses
Primary practice location
1460 N Center Rd
Burton, MI 48509-1429
Mailing address
1460 N Center Rd
Burton, MI 48509-1429
Phone (810) 715-4300
Other providers in Burton, MI
- Nilufa Akhter
- Muhammad Haitham Al-Midani
- Kayla Alaimo
- Fatema Aldroubi
- Brandy Ann Alexander
- Eman Alkahali
- Sabuhi Alkhan
- Charmel C Allen
- Faith Allen
- Raouf Alsebei
All providers in Burton, MI · Family Medicine 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 Sep 10, 2010. 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.