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Organization
SURESHA BANDARA MDPC
Active
Organization
SURESHA BANDARA MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESHA CHANDANI BANDARA (PROVIDER)
(248) 892-0316
Entity
Organization
Contact information
Practice address
3147 CHESTNUT RUN DR, BLOOMFIELD HILLS, MI 48302-1112
(248) 892-0316
Mailing address
3147 CHESTNUT RUN DR, BLOOMFIELD, MI 48302-1112
(248) 892-0316
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
01/10/2024
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