Organization
VIJAYA CHALLA, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKY R CHALLA (OFFICE MANAGER)
(313) 562-9020
Entity
Organization
Contact information
Practice address
24604 MICHIGAN AVE STE 100, DEARBORN, MI 48124-1760
(313) 562-9020
(313) 562-8511
Mailing address
24604 MICHIGAN AVE STE 100, DEARBORN, MI 48124-1760
(313) 562-9020
(313) 562-8511
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
VC080035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4865150
—
MI
Enumeration date
06/27/2012
Last updated
06/08/2026
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