Organization
FENKELL MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH L CHHEDA MD (OWNER)
(810) 423-2308
Entity
Organization
Contact information
Practice address
10101 FENKELL ST, DETROIT, MI 48238-1645
(810) 423-2308
Mailing address
27950 ORCHARD LAKE RD, STE 116, FARMINGTON HILLS, MI 48334-3758
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301045264
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1867240 10
—
MI
01
—
OP24500
MEDICARE UNSP
MI
Enumeration date
04/17/2009
Last updated
04/17/2009
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