Organization
OUTPATIENT ENDOSCOPY & SURGI CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARIVALLABH D PANDYA M.D. (PRESIDENT)
(586) 778-6090
Entity
Organization
Contact information
Practice address
28300 HARPER AVE, ST CLAIR SHORES, MI 48081-1686
(586) 778-6090
(586) 778-1943
Mailing address
28300 HARPER AVE, ST CLAIR SHORES, MI 48081-1686
(586) 778-6090
(586) 778-1943
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
122345
MI
Other
Enumeration date
05/27/2006
Last updated
06/04/2008
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