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Organization
TRENTON TOTAL HEALTH CARE CENTER PC
Active
Organization
TRENTON TOTAL HEALTH CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAJOOR SUDHAKARA MD (PRESIDENT)
(734) 676-8530
Entity
Organization
Contact information
Practice address
1675 KINGSWAY CT, TRENTON, MI 48183-1958
(734) 676-8530
(734) 676-2319
Mailing address
1675 KINGSWAY CT, TRENTON, MI 48183-1958
(734) 676-8530
(734) 676-2319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H210180
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
11/13/2006
Last updated
12/06/2011
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