Individual
SURENDRA KELWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36180 FIVE MILE RD, LIVONIA, MI 48154-1919
(734) 591-7666
(734) 591-2426
Mailing address
36180 FIVE MILE RD, LIVONIA, MI 48154-1919
(734) 591-7666
(734) 591-2426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301043972
MI
Other
Enumeration date
08/18/2006
Last updated
10/02/2012
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