Provider Demographics
NPI:1861147456
Name:IHP MI EMERGENCY MEDICINE PLLC
Entity type:Organization
Organization Name:IHP MI EMERGENCY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HEMANTH
Authorized Official - Middle Name:G
Authorized Official - Last Name:NEELI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-354-5381
Mailing Address - Street 1:2500 DEKALB PIKE STE 301
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-2007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6245 INKSTER RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-4001
Practice Address - Country:US
Practice Address - Phone:484-965-9566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty