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Vijaya Mamidipaka, MD
Family Medicine Physician in Plymouth, Michigan
NPI 1295770394

Vijaya Mamidipaka is a Family Medicine Physician based in Plymouth, MI. Vijaya Mamidipaka practices in Plymouth, MI and has the professional credentials of MD. The NPI Number for Vijaya Mamidipaka is 1295770394 and holds a License No. 4301082641 (Michigan).

The current practice location address for Vijaya Mamidipaka is 47500 Ffve Mile Road, Plymouth, MI and can be reached out via phone at 734-459-7400 and via fax at 734-459-7403.

Location: 47500 Ffve Mile Road, Plymouth, MI, 48170-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295770394
Provider Name
Vijaya Mamidipaka
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
47500 Ffve Mile Road, Plymouth, MI, 48170-2487
Phone Number
734-459-7400
Fax Number
734-459-7403
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OH24978 01 MA BLUE CROSS BLUE SHIELD MI
institution
Provider Business Practice Location Address Details
Address
47500 Ffve Mile Road
City
Plymouth
State
Michigan
Zip
48170
Phone Number
734-459-7400
Fax Number
734-459-7403
person
Provider Business Mailing Address Details
Address
47500 Ffve Mile Road
City
Plymouth
State
Michigan
Zip
48170
Phone Number
734-459-7400
Fax Number
734-459-7403
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301082641 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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