Individual
LEELA MOHEY VASILEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(212) 658-8734
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301504503
MI
Other
Enumeration date
04/03/2017
Last updated
01/13/2022
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