Organization
ACCESS DIRECT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURYA NALLANI MD (OWNER)
(248) 935-8103
Entity
Organization
Contact information
Practice address
24100 DRAKE RD STE A, FARMINGTON HILLS, MI 48335-3155
(248) 935-8103
(248) 509-0474
Mailing address
1229 ROTHWELL DR, TROY, MI 48084-1577
(248) 935-8103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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