| NPI | 1205155512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDEVI YALALA CEO 248-269-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301064391) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
| 208M00000X Hospitalist (Licence: MI 4301064391) | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-06-01 |