Organization
PEDIATRIC AND ADOLESCENT CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOBANA SUNDARAM M.D. (OWNER)
(586) 731-1500
Entity
Organization
Contact information
Practice address
43184 DEQUINDRE RD, SUITE 208, STERLING HEIGHTS, MI 48314-1709
(586) 731-1500
(586) 731-1363
Mailing address
43184 DEQUINDRE RD, SUITE 208, STERLING HEIGHTS, MI 48314-1709
(586) 731-1500
(586) 731-1363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301077847
MI
Other
Enumeration date
06/12/2013
Last updated
01/12/2017
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