BN Nandish MD PC Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301079475 Issued in MI

Legal business name

BN NANDISH MD PC INC

Doing business as

B.N. Nandish, MD PC

Practice address

45438 Irvine Dr
Novi, MI 48374-3772

Phone

(248) 449-4032

Fax

(248) 449-4032

NPI assigned

Jul 11, 2006

Last updated

Feb 6, 2014By 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

Dr. Banathally Nanjundaswamy Nandish, MDNPI 1356386767

Title

President/Physician

Phone

(248) 449-4032

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• B.N. Nandish, MD PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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.

• Banathally Nanjundaswamy Nandish, MD

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1356386767
  Medicare reassignment Care Compare group Authorized official
• Mohammad Tariq Yasin Kang, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1598904690
  Medicare reassignment Care Compare group NPD
• Pragnesh Patel, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1386682441
  Medicare reassignment Care Compare group NPD
• Khyati Patel, M.D.

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1780992628
  Medicare reassignment NPD
• Raveen Singh Rai, MD

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1982970448
  Medicare reassignment
• Sunali Tamhaney, MD

  • Internal Medicine Physician
  • South Lyon, MI
  • NPI 1952302317
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1710912605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483760247",
            "telephone_number": "248-449-4032",
            "fax_number": "248-449-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45438 IRVINE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743772",
            "telephone_number": "248-449-4032",
            "fax_number": "248-449-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BN NANDISH MD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "NANDISH",
        "authorized_official_first_name": "BANATHALLY",
        "authorized_official_middle_name": "NANJUNDASWAMY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "248-449-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4858610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B.N. Nandish, MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Blumberg
• Jessica Blume
• Angela Blumenthal
• Zachary Blumke
• Leslie Bluto
• Tracy Boateng
• Humayra Bobby
• Chasity Bobo
• Emily Bobo
• Brittany Boddy

• Internal Medicine Physician in Novi, MI
• Providers in Novi, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.