Organization
ALPHA MEDICAL SERVICES PC
Active
Organization
ALPHA MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARI KUMAR DANDAPANTULA MD (MD/OWNER)
(248) 895-2069
Entity
Organization
Contact information
Practice address
26131, SUNBURY CT, NOVI, MI 48374
(248) 895-2069
(248) 697-9720
Mailing address
25500 GODDARD RD, TAYLOR, MI 48180-3926
(313) 914-2395
(313) 914-2437
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301072495
—
MI
Enumeration date
05/08/2014
Last updated
05/27/2014
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