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Padma Padival
Gerontology Nurse Practitioner in Taylor, Michigan
NPI 1295478113

Padma Padival is a Gerontology Nurse Practitioner based in Canton, MI and is specialized in Gerontology. Padma Padival practices in Taylor, MI. The NPI Number for Padma Padival is 1295478113 and holds a License No. AG03220068 (Michigan).

The current practice location address for Padma Padival is 10501 Telegraph Rd Ste 105, Taylor, MI and can be reached out via phone at 313-295-7200.

Location: 10501 Telegraph Rd Ste 105, Taylor, MI, 48188-6223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295478113
Provider Name
Padma Padival
Credential
Provider Entity Type
Individual
Gender
Female
Address
10501 Telegraph Rd Ste 105, Taylor, MI, 48188-6223
Phone Number
313-295-7200
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10501 Telegraph Rd Ste 105
City
Taylor
State
Michigan
Zip
48180-3376
Phone Number
313-295-7200
Fax Number
person
Provider Business Mailing Address Details
Address
10501 Telegraph Rd Ste 105
City
Taylor
State
Michigan
Zip
48180-3376
Phone Number
313-295-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
AG03220068 (Michigan)
Definition
Definition to come...
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