Organization
FIRST OPTION MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYLAKSMI THANDRA M.D (PRESIDENT)
(313) 278-7750
Entity
Organization
Contact information
Practice address
4215 S BEECH DALY ST, DEARBORN HEIGHTS, MI 48125-1567
(313) 278-7750
(313) 278-8729
Mailing address
4215 S BEECH DALY ST, DEARBORN HEIGHTS, MI 48125-1567
(313) 278-7750
(313) 278-8729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4326290
—
MI
05
—
4394048
—
MI
Enumeration date
03/21/2007
Last updated
09/12/2007
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