| NPI | 1093899569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMEELA DEVI BADDIGAM Psychiatrist 586-263-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363AM0700X Physician Assistant, Medical | |
| 364SG0600X Clinical Nurse Specialist, Gerontology | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-03-18 |