| NPI | 1023267945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASA R MADIREDDY Physician 248-214-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301084372) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2013-12-09 |