Gummadi, Himaja

Gummadi, Himaja is an individual health care provider with primary practice located at 30901 Palmer Rd , Westland MI 48186-9529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gummadi, Himaja can be contacted via phone (734) 367-8403.

Contact Information

Primary practice address
30901 Palmer Rd Westland MI 48186-9529
Phone: (734) 367-8403
Fax: (734) 722-9524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301070128 Michigan

Profile Details

NPI number 1265458624
LBN Legal business name Gummadi, Himaja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265458624 NPPES
Michigan Other 260Q26259 BCBSM GR#
Michigan MEDICAID 4867342 BCBSM GR#
Michigan Other HG070108 BCBSM GR#
Michigan Other 1508883299 BCBSM GR#
Michigan Other 2600052028 BCBSM GR#

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