# MADISON MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MADISON MEDICAL CENTER PC
- **Other names:** Madison Home Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073732178
- **Legal business name:** MADISON MEDICAL CENTER PC
- **Authorized official:** DR. RAM GUNABALAN MD (PRESIDENT)
- **Authorized official phone:** (248) 583-8922

## Contact information

- **Practice address:** 363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
- **Practice address phone:** (248) 619-9471
- **Practice address fax:** (248) 619-9774
- **Mailing address:** 30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
- **Mailing address phone:** (248) 583-8922
- **Mailing address fax:** (248) 583-8969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 10/01/2007