Dandamudi, Visala
Dandamudi, Visala is an individual health care provider with primary practice located at 25869 Kelly Rd Suite A, Roseville MI 48066-4997. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dandamudi, Visala can be contacted via phone (586) 773-6020.Contact Information
Primary practice address
25869 Kelly Rd Suite A
Roseville MI 48066-4997
Phone: (586) 773-6020
Fax: (586) 773-6093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301080937 | Michigan |
Profile Details
| NPI number | 1982632691 |
|---|---|
| LBN Legal business name | Dandamudi, Visala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Apr 1st, 2008 - about 16 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 | 1982632691 | NPPES |
| Michigan | MEDICAID | 4658039 |
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