Mendiratta, Madhu

Mendiratta, Madhu is an individual health care provider with primary practice located at 26699 West 12 Mile Rd Suite 100, Southfield MI 48034-1754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mendiratta, Madhu can be contacted via phone (248) 945-9370.

Contact Information

Primary practice address
26699 West 12 Mile Rd Suite 100 Southfield MI 48034-1754
Phone: (248) 945-9370
Fax: (248) 945-9377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301048520 Michigan

Profile Details

NPI number 1467447441
LBN Legal business name Mendiratta, Madhu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated May 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467447441 NPPES
Michigan Other 383583448 PPOM
Michigan Other 2606309652 PPOM

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