Qmj Medical Center PC
NPI 1417765173ActiveOrganization· Internal Medicine· Lathrup Village, MI
Internal Medicine in Lathrup Village, Michigan, registered in NPPES in December 2024. The authorized official on file is Priti Padamanabha Shetty, Biller. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417765173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2024 |
| Last updated in NPPES | Dec 26, 2024 |
| Certified by provider | Dec 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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) |
|---|
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