Greater Genesee County Aco

NPI #1225426711 in Flint, Michigan

Provider Information

NPI Number: 1225426711
Entity Type: Organization
Organization Name: Greater Genesee County Aco
Primary Specialty: Internal Medicine
Enumeration Date: Jan 6, 2015
Last Updated: Jan 6, 2015

Practice Location

Address: 1397 S LINDEN RD
Address 2: SUITE D
City: Flint
State: Michigan
ZIP Code: 48532-4194
Phone: (810) 720-4200

Authorized Official

Name: DR. SAMASANDRAPALYA KIRAN, MD
Title: CHAIRMAN
Phone: (810) 720-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound	2085U0001X
Internal Medicine	207R00000X	Primary

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