# INTEGRATED HOME CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrated Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750686143
- **Authorized official:** DR. SAILAJA PEDDIREDDY M.D. (M.D.)
- **Authorized official phone:** (248) 809-6402

## Contact information

- **Practice address:** 23077 GREENFIELD RD, 240, SOUTHFIELD, MI 48075-3709
- **Practice address phone:** (248) 809-6402
- **Practice address fax:** (248) 809-6417
- **Mailing address:** 23077 GREENFIELD RD, 240, SOUTHFIELD, MI 48075-3709
- **Mailing address phone:** (248) 809-6402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 4301075965 | MI | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 12/13/2013