Organization
BADDIGAM FAMILY PSYCHIATRIC ASSOCIATES PLLC
Active
Organization
BADDIGAM FAMILY PSYCHIATRIC ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMEELA DEVI BADDIGAM MD (PSYCHIATRIST)
(586) 263-6812
Entity
Organization
Contact information
Practice address
43211 DALCOMA DR, STE. 3, CLINTON TOWNSHIP, MI 48038-6309
(586) 263-6812
(586) 263-6835
Mailing address
PO BOX 7002, BLOOMFIELD, MI 48302-7002
(586) 263-6812
(586) 263-6835
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0459615
VALUE OPTIONS
—
05
—
1033313069
—
MI
01
—
1082559
AETNA
—
01
—
1265467682
NPI
MI
01
—
138868
CARE CHOICES
—
01
—
140176
CARE CHOICES
—
01
—
2204444
CIGNA
—
01
—
2605017381
BCBS
MI
01
—
2605017531
BCS
MI
01
—
260E021040
BCBSM GRP
MI
05
—
476904710
—
MI
05
—
476905610
—
MI
01
—
5840532
VALUE OPTIONS
—
01
—
680E020960
BCBSM PHD GRP
MI
01
—
819269000
MAGELLAN
—
01
—
BB053679
LIC
MI
01
—
F63502
HAP
—
01
—
PB055388
LIC
—
01
—
VM053562
LIC
MI
Enumeration date
10/24/2006
Last updated
03/18/2022
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