| NPI | 1588445787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESHA CHANDANI BANDARA Provider 248-892-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-01-10 |