# PODIATRY INSTITUTE OF MICHIGAN

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

## Provider details

- **NPI number:** 1679197438
- **Authorized official:** RISHI MAHAJAN DPM (OWNER)
- **Authorized official phone:** (734) 472-2700

## Contact information

- **Practice address:** 10501 TELEGRAPH RD STE 104, TAYLOR, MI 48180-3376
- **Practice address phone:** (734) 472-2700
- **Practice address fax:** (734) 472-2701
- **Mailing address:** 10501 TELEGRAPH RD STE 104, TAYLOR, MI 48180-3376
- **Mailing address phone:** (734) 472-2700
- **Mailing address fax:** (734) 472-2701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2020
- **Last updated:** 02/01/2022