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Organization

BN NANDISH MD PC INC

Active
Other names
B.N. Nandish, MD PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BANATHALLY NANJUNDASWAMY NANDISH MD (PRESIDENT/PHYSICIAN)
(248) 449-4032
Entity
Organization

Contact information

Practice address
45438 IRVINE DR, NOVI, MI 48374-3772
(248) 449-4032
(248) 449-4032
Mailing address
PO BOX 247, NOVI, MI 48376-0247
(248) 449-4032
(248) 449-4032

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301079475
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4858610
MI
Enumeration date
07/11/2006
Last updated
02/06/2014
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