Organization
ANCHOR SENIOR MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASAN H DESHIKACHAR M.D., (MEMBER)
(313) 491-5544
Entity
Organization
Contact information
Practice address
11803 GRAND RIVER AVE, DETROIT, MI 48204-1810
(313) 491-5544
(313) 491-7433
Mailing address
11803 GRAND RIVER AVE, DETROIT, MI 48204-1810
(313) 491-5544
(313) 491-7433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H217530
BCBS
MI
Enumeration date
06/15/2006
Last updated
09/04/2008
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