# IN-HOUSE GERIATRIC CARE P.C.

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

## Provider details

- **NPI number:** 1205155512
- **Authorized official:** DR. SRIDEVI YALALA M.D, (CEO)
- **Authorized official phone:** (248) 269-3412

## Contact information

- **Practice address:** 1985 W BIG BEAVER RD STE 310, TROY, MI 48084-3409
- **Practice address phone:** (248) 269-3412
- **Mailing address:** 1985 W BIG BEAVER RD STE 310, TROY, MI 48084-3409
- **Mailing address phone:** (248) 269-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301064391 | MI | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | MI | — |
| 208M00000X | Hospitalist Physician | 4301064391 | MI | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/26/2010
- **Last updated:** 06/01/2010