Vijaya Challa, M.D.P.C.

LBN: Vijaya Challa, M.D.P.C.
Vijaya Challa, M.D.P.C. is an health care organization with primary practice located at 7445 Allen Rd Suite 180, Allen Park MI 48101-1963. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Vijaya Challa, M.D.P.C. can be contacted via phone (810) 449-5456, or through Challa, Vijaya via phone (810) 449-5456.

Contact Information

Primary practice address
7445 Allen Rd Suite 180 Allen Park MI 48101-1963
Fax:
Website:
Authorized official contact:
Name: Challa, Vijaya Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X VC080035 Michigan

Profile Details

NPI number 1629332218
LBN Legal business name Vijaya Challa, M.D.P.C.
DBA Doing business as
Authorized official Challa, Vijaya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629332218 NPPES
Michigan MEDICAID 4865150

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