| NPI | 1346241775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRANATH KAMBHAMPATI Owner/Medical Director 248-852-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 636828) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-07-24 |