Organization
APOLLO FAMILY HEALTH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJATA KAMBHATLA M.D (PRESIDENT AND CEO)
(734) 421-6333
Entity
Organization
Contact information
Practice address
5823 MIDDLEBELT RD, GARDEN CITY, MI 48135-2459
(734) 421-6333
(734) 421-9954
Mailing address
5823 MIDDLEBELT RD, GARDEN CITY, MI 48135-2459
(734) 421-6333
(734) 421-9954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110827980-2
BLUE CROSS BLUE SHIELD,MI
MI
05
—
4112248
—
MI
Enumeration date
02/01/2006
Last updated
05/12/2023
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