NPIMap

Organization Active NPI

Medfix P.C.

  • Primary Care Clinic/Center
  • Novi, MI
National Provider Identifier
1033370648
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301061862 Issued in MI
Legal business name
MEDFIX P.C.
Practice address
47601 Grand River Ave
Suite B-230
Novi, MI 48374-1233
Phone
(248) 465-4444
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nisha Chellam Vedamuthu, M.D.
Title
President
Phone
(877) 545-3297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301061862 MI Primary

Addresses

Primary practice location

47601 Grand River Ave
Suite B-230
Novi, MI 48374-1233

Mailing address

25020 Hadlock Dr
Novi, MI 48374-2553
Phone (877) 545-3297

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1033370648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25020 HADLOCK DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742553",
            "telephone_number": "877-545-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "address_2": "SUITE B-230",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-465-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFIX P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "CHELLAM VEDAMUTHU",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-545-3297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301061862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.