Organization
INTEGRATED HOME CLINIC
Active
Other names
Integrated Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAILAJA PEDDIREDDY M.D. (M.D.)
(248) 809-6402
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD, 240, SOUTHFIELD, MI 48075-3709
(248) 809-6402
(248) 809-6417
Mailing address
23077 GREENFIELD RD, 240, SOUTHFIELD, MI 48075-3709
(248) 809-6402
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
4301075965
MI
Other
Enumeration date
01/18/2011
Last updated
12/13/2013
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