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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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