Organization
IN-HOUSE GERIATRIC CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIDEVI YALALA M.D, (CEO)
(248) 269-3412
Entity
Organization
Contact information
Practice address
1985 W BIG BEAVER RD STE 310, TROY, MI 48084-3409
(248) 269-3412
Mailing address
1985 W BIG BEAVER RD STE 310, TROY, MI 48084-3409
(248) 269-3412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301064391
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
MI
208M00000X
Hospitalist Physician
4301064391
MI
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
05/26/2010
Last updated
06/01/2010
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