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1811996242
KANCHANA MALA MADHAVAN
LIVONIA, MI
NPI
1811996242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301069988)
Enumeration Date
2005-07-19
Last Update Date
2012-10-29
Business Address
-- KANCHANA MALA MADHAVAN MD
37595 7 MILE RD
LIVONIA, MI 48152-1003
Phone number: 734-432-6665
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Mailing Address
-- KANCHANA MALA MADHAVAN MD
25925 TELEGRAPH RD 210
SOUTHFIELD, MI 48034-2518
Phone number: 248-746-0342
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