Organization
SUPRA VASCULAR ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHEER UMMADI MD (MANAGER)
(313) 389-0648
Entity
Organization
Contact information
Practice address
16507 SOUTHFIELD RD, ALLEN PARK, MI 48101-2503
(313) 389-0648
(313) 389-3510
Mailing address
16507 SOUTHFIELD RD, ALLEN PARK, MI 48101-2503
(313) 389-0648
(313) 389-3510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
01/30/2019
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