Beech Daly Medical Center, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301058459 Issued in MI

Legal business name

BEECH DALY MEDICAL CENTER, PLLC

Practice address

23850 Van Born Rd
Dearborn Heights, MI 48125-2325

Phone

(313) 278-7750

Fax

(313) 278-8729

NPI assigned

Apr 6, 2007

Last updated

Feb 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijayalaksmi Thandra, MD

Title

President

Phone

(313) 278-7750

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Michael Doyle, DO

  • Family Medicine Physician
  • Monroe, MI
  • NPI 1982679262
  NPD (past)
• Rani Thangam Potti, M.D. M.P.H.

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1811996333
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1326160433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 VANBRON",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325",
            "telephone_number": "313-278-7750",
            "fax_number": "313-278-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325",
            "telephone_number": "313-278-7750",
            "fax_number": "313-278-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH DALY MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "THANDRA",
        "authorized_official_first_name": "VIJAYALAKSMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-278-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301058459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith A Bean, PHD
• Robert Beaser
• Marteese Beaumont
• Audreonna Beavers
• Bethany Marie Becker, LMT
• Karen Belle, CHW
• Steven Andrew Beneteau, R.PH
• Rita Benjamin
• Bennett Optometry LLC (Clarkson Eyecare)
• Jina Berro

• General Practice Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.