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Vijaya Challa, M.d.p.c.
Primary Care Clinic/Center in Allen Park, Michigan
NPI 1629332218

Vijaya Challa, M.d.p.c. is a Primary Care Clinic/Center based in Allen Park, MI and is specialized in Primary Care. Vijaya Challa, M.d.p.c. practices in Allen Park, MI. The NPI Number for Vijaya Challa, M.d.p.c. is 1629332218 and holds a License No. VC080035 (Michigan).

The current practice location address for Vijaya Challa, M.d.p.c. is 7445 Allen Rd, Allen Park, MI and can be reached out via phone at 810-449-5456.

Location: 7445 Allen Rd, Allen Park, MI, 48101-1963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629332218
Provider Name
Vijaya Challa, M.d.p.c.
Credential
Provider Entity Type
Organization
Address
7445 Allen Rd, Allen Park, MI, 48101-1963
Phone Number
810-449-5456
Fax Number
Provider Enumeration Date
06/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4865150 05 MI
institution
Provider Business Practice Location Address Details
Address
7445 Allen Rd
City
Allen Park
State
Michigan
Zip
48101-1963
Phone Number
810-449-5456
Fax Number
person
Provider Business Mailing Address Details
Address
7445 Allen Rd
City
Allen Park
State
Michigan
Zip
48101-1963
Phone Number
810-449-5456
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
VC080035 (Michigan)
Definition
Definition to come...
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