Organization
VINOD KOHLI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINOD KOHLI M.D. (PRESIDENT)
(586) 530-2197
Entity
Organization
Contact information
Practice address
25511 VAN DYKE AVENUE, SUITE 200, CENTER LINE, MI 48015-1834
(586) 759-6300
(586) 759-1409
Mailing address
25511 VAN DYKE AVENUE, SUITE 200, CENTER LINE, MI 48015-1834
(586) 759-6300
(586) 759-1409
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301040989
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105005271
BCBS
MI
05
—
MI335057710
—
MI
Enumeration date
11/14/2008
Last updated
07/17/2024
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