Provider Demographics
NPI:1548134000
Name:CLEARCAST HEARING, LLC
Entity type:Organization
Organization Name:CLEARCAST HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SREEKANT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERUKURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-860-4327
Mailing Address - Street 1:25704 SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-2170
Mailing Address - Country:US
Mailing Address - Phone:312-860-4327
Mailing Address - Fax:
Practice Address - Street 1:18447 W 8 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1520
Practice Address - Country:US
Practice Address - Phone:312-860-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty