Individual
VIDYA PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-6066
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301059367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F362420
BCBSM
MI
05
—
4069880
—
MI
Enumeration date
03/27/2006
Last updated
10/12/2022
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