NPI 1417765173

Qmj Medical Center PC

Organisation Internal Medicine Physician Lathrup Village, MI

Practice location

Address: 26237 Southfield Rd, Lathrup Village, MI 48076-4546
Phone: (248) 945-1962
Fax: (248) 945-1963
Mailing address: 49902 Tahoe Way, Canton, MI 48187-4483

Authorised official

Name: Priti Padamanabha Shetty
Title: Biller
Phone: (248) 787-1137

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1417765173
Entity type: Organization
NPI issued: 26 Dec 2024
Record last updated: 26 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.