# BEECH DALY MEDICAL CENTER, PLLC

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

## Provider details

- **NPI number:** 1326160433
- **Authorized official:** DR. VIJAYALAKSMI THANDRA MD (PRESIDENT)
- **Authorized official phone:** (313) 278-7750

## Contact information

- **Practice address:** 23850 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2325
- **Practice address phone:** (313) 278-7750
- **Practice address fax:** (313) 278-8729
- **Mailing address:** 23850 VANBRON, DEARBORN HEIGHTS, MI 48125-2325
- **Mailing address phone:** (313) 278-7750
- **Mailing address fax:** (313) 278-8729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301058459 | MI | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 02/20/2013