Organization
MEDFIX P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHA CHELLAM VEDAMUTHU M.D. (PRESIDENT)
(877) 545-3297
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER AVE, SUITE B-230, NOVI, MI 48374-1233
(248) 465-4444
Mailing address
25020 HADLOCK DR, NOVI, MI 48374-2553
(877) 545-3297
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301061862
MI
Other
Enumeration date
06/17/2008
Last updated
02/09/2010
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