# HOME VISITING DOCTORS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134660376
- **Authorized official:** BABU KONERU (PARTNER)
- **Authorized official phone:** (734) 276-6501

## Contact information

- **Practice address:** 17515 W 9 MILE RD STE 180, SOUTHFIELD, MI 48075-4400
- **Practice address phone:** (734) 276-6501
- **Mailing address:** 17515 W 9 MILE RD STE 180, SOUTHFIELD, MI 48075-4400
- **Mailing address phone:** (734) 276-6501

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 09/09/2021
