Provider Demographics
NPI:1255409785
Name:BHASIN, SURJIT S (MD)
Entity type:Individual
Prefix:DR
First Name:SURJIT
Middle Name:S
Last Name:BHASIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HENRY FORD HEALTH SYSTEM
Mailing Address - Street 2:3500 FIFTEEN MILE ROAD
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:586-977-9936
Mailing Address - Fax:586-268-8021
Practice Address - Street 1:HENRY FORD HEALTH SYSTEM
Practice Address - Street 2:3500 FIFTEEN MILE ROAD
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-977-9936
Practice Address - Fax:586-268-8158
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031358207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SB031358OtherCHAMPUS-CHAMPUS
060H264410OtherBLUE CROSS-BLUE CROSS
SB031358OtherCOMMERCIAL-COMMERCIAL NUMBER
MI447345510Medicaid
MI0H26441085Medicare PIN
SB031358OtherCHAMPUS-CHAMPUS