| NPI | 1487867644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMYUKTHA RANI MADISHETTY Owner 313-561-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301080548) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-12-11 |