Organization
METRO PHYSIATRY PC
Active
Organization
METRO PHYSIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTHOSH MADHAVAN M.D. (PHYSICIAN)
(248) 761-9556
Entity
Organization
Contact information
Practice address
26900 FRANKLIN RD, SOUTHFIELD, MI 48033
(248) 350-8070
Mailing address
7623 WINDGATE CIR, WEST BLOOMFIELD, MI 48323-3913
(248) 761-9556
(248) 624-2356
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301050998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2506334501
BCBS
MI
05
—
4149829
—
MI
Enumeration date
01/10/2007
Last updated
08/22/2020
Update your record
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