| Punitha Vijayakumar Md Pc | |
|
25400 Goddard Rd Taylor MI 48180-6200 | |
| (313) 292-9233 | |
| (313) 292-9023 |
| Full Name | Punitha Vijayakumar Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25400 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Punitha Vijayakumar (PRESIDENT) |
| Authorized Official Contact | 3132929233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Punitha Vijayakumar Md Pc 25400 Goddard Rd Taylor MI 48180-6200 Ph: (313) 292-9233 | Punitha Vijayakumar Md Pc 25400 Goddard Rd Taylor MI 48180-6200 Ph: (313) 292-9233 |
| NPI Number | 1932423332 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 03/15/2010 |
| Medicare PECOS PAC ID | 6103952205 |
|---|---|
| Medicare Enrollment ID | O20100329000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932423332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301072977 (Michigan) | Primary |
| Provider Name | Punithavathy M Vijayakumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396713756 PECOS PAC ID: 1951370766 Enrollment ID: I20040929000046 |
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