Organization
VIJAYALAKSHMI NAGAPPAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYALAKSHMI NAGAPPAN M.D. (OWNER)
(248) 396-1306
Entity
Organization
Contact information
Practice address
19270 HANNAN RD, NEW BOSTON, MI 48164-9812
(248) 396-1306
Mailing address
4598 APPLETREE CT, WEST BLOOMFIELD, MI 48323-3910
(248) 396-1306
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301076671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301076671
LICENSE
MI
Enumeration date
10/14/2016
Last updated
11/20/2024
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