| Soumya Madala Md Pllc | |
|
3937 Patient Care Way Ste 102 Lansing MI 48911-4287 | |
| (517) 887-6763 | |
| Not Available |
| Full Name | Soumya Madala Md Pllc |
|---|---|
| Speciality | Internal Medicine - Sleep Medicine |
| Location | 3937 Patient Care Way Ste 102, Lansing, Michigan |
| Authorized Official Name and Position | Soumya Madala (OWNER) |
| Authorized Official Contact | 5173390322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soumya Madala Md Pllc 3937 Patient Care Drive #102 Lansing MI 48911 Ph: (517) 887-6763 | Soumya Madala Md Pllc 3937 Patient Care Way Ste 102 Lansing MI 48911-4287 Ph: (517) 887-6763 |
| NPI Number | 1376873760 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376873760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301085495 (Michigan) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 4301085495 (Michigan) | Primary |
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