Southeast Michigan Medical Associates PC
NPI 1417001660ActiveOrganization· Internal Medicine· Lathrup Village, MI
Internal Medicine in Lathrup Village, Michigan, registered in NPPES in January 2007. The authorized official on file is Ashok Kumar Bansal, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417001660 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2007 |
| Last updated in NPPES | Feb 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 4301057441 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Internal Medicine providers in Lathrup Village
- 1972946580
- 1750548392
- 1376851758
- 1538291513
- 1568530053
- 1417765173
- 1003040288
- 1174779938
- 1881620235
- 1285721514
- 1013980531
- 1366421273