Individual
KANCHANA MALA MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37595 7 MILE RD, LIVONIA, MI 48152-1003
(734) 432-6665
Mailing address
25925 TELEGRAPH RD, 210, SOUTHFIELD, MI 48034-2518
(248) 746-0342
(248) 746-0308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301069988
MI
Other
Enumeration date
07/19/2005
Last updated
10/29/2012
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