Active NPI
Guru Nanak Dev Clinic PLC
- Psychiatry Physician
- Romulus, MI
National Provider Identifier
1871220350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GURU NANAK DEV CLINIC PLC
- Practice address
- 9950 Wayne Rd
Romulus, MI 48174-3429 - Phone
- (734) 892-2712
- Fax
- (734) 892-2714
- NPI assigned
- Aug 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravinder Sandhu
- Title
- Owner
- Phone
- (734) 377-8046
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
9950 Wayne Rd
Romulus, MI 48174-3429
Mailing address
9950 Wayne Rd
Romulus, MI 48174-3429
Phone (734) 892-2712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Southfield, MI
- NPI 1023435179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1871220350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9950 WAYNE RD",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481743429",
"telephone_number": "734-892-2712",
"fax_number": "734-892-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9950 WAYNE RD",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481743429",
"telephone_number": "734-892-2712",
"fax_number": "734-892-2714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GURU NANAK DEV CLINIC PLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-04",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "SANDHU",
"authorized_official_first_name": "RAVINDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-377-8046"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Romulus, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.