Challa, Vijaya N
Challa, Vijaya N is an individual health care provider with primary practice located at 7445 Allen Rd Suite # 210, Allen Park MI 48101-1963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Challa, Vijaya N can be contacted via phone (313) 382-0505.Contact Information
Primary practice address
7445 Allen Rd Suite # 210
Allen Park MI 48101-1963
Phone: (313) 382-0505
Fax: (313) 382-1584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301080035 | Michigan |
Profile Details
| NPI number | 1528016490 |
|---|---|
| LBN Legal business name | Challa, Vijaya N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 15th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528016490 | NPPES |
| Michigan | MEDICAID | 4865150 |
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