Manilal O Mewada MDPC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MM041950 Issued in MI

Legal business name

MANILAL O MEWADA MDPC

Practice address

4001 Walli Strasse Dr
Suite C
Burton, MI 48509-1729

Phone

(810) 743-5400

Fax

(810) 743-5474

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Manilal O Mewada, MD

Title

President

Phone

(810) 743-5400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1508170929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WALLI STRASSE DR",
            "address_2": "SUITE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091729",
            "telephone_number": "810-743-5400",
            "fax_number": "810-743-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WALLI STRASSE DR",
            "address_2": "SUITE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091729",
            "telephone_number": "810-743-5400",
            "fax_number": "810-743-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANILAL O MEWADA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "MEWADA",
        "authorized_official_first_name": "MANILAL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-743-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "MM041950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1566962",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Burton, MI
• Providers in Burton, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.