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Organization

BHAVANA VYAS MD PLLC

Active
Other names
Macomb Medical Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHAVANA VYAS M.D. (PRESIDENT)
(586) 263-1818
Entity
Organization

Contact information

Practice address
43475 DALCOMA DR STE 208, CLINTON TWP, MI 48038-3593
(586) 263-1818
(586) 314-6044
Mailing address
43475 DALCOMA DR STE 208, CLINTON TWP, MI 48038-3593
(586) 263-1818
(586) 314-6044

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
06/24/2015
Last updated
11/12/2019
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