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Organization
INTEGRATED HOME CLINIC
Active
Organization
INTEGRATED HOME CLINIC
Active
Other names
Integrated Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAILAJA PEDDIREDDY M.D. (M.D.)
(248) 809-6402
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD, 240, SOUTHFIELD, MI 48075-3709
(248) 809-6402
(248) 809-6417
Mailing address
23077 GREENFIELD RD, 240, SOUTHFIELD, MI 48075-3709
(248) 809-6402
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
4301075965
MI
Other
Enumeration date
01/18/2011
Last updated
12/13/2013
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