MD Wellness LLC

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

License

L17000121902 Issued in FL

Legal business name

MD WELLNESS LLC

Practice address

28373 Dequindre Rd
Madison Heights, MI 48071-3003

Phone

(313) 209-3353

Fax

(313) 406-7255

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Vandana Ramaiah, MS

Title

Program Director

Phone

(727) 687-9102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194240606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28373 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713003",
            "telephone_number": "313-209-3353",
            "fax_number": "313-406-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28373 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713003",
            "telephone_number": "313-209-3353",
            "fax_number": "313-406-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAMAIAH",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "727-687-9102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "FL",
            "license": "L17000121902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Elizabeth McLauchlan
• Kristin McLellan, DPT
• Claudia Ann McPartlin-Weihler, NP
• Diana Iris McQuirter, DDS
• Leslie McSween, LLMSW
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• Medical Center Emergency Services
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• Mary Mossad Megally, D.O.
• Pathik Mehta, PHYSICAL THERAPIST

• Medical Foods Supplier in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Medical Foods Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.