Individual
AMITA PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1949 W 12 MILE RD STE 100, BERKLEY, MI 48072-1868
(248) 551-1756
(248) 551-9566
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301076804
MI
Other
Enumeration date
07/06/2006
Last updated
10/20/2020
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