Individual
MRS. VIJAYA C. RAMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301055604
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000585
—
MI
05
—
4258609
—
MI
01
—
4301055604
LICENSE NO.
MI
Enumeration date
11/21/2006
Last updated
07/19/2022
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