Michigan Visiting Physicians PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MICHIGAN VISITING PHYSICIANS PC

Practice address

25650 Outer Dr
Suite 401
Lincoln Park, MI 48146-2096

Phone

(313) 383-7147

Fax

(313) 383-7163

NPI assigned

Apr 10, 2009

Last updated

May 21, 2009By 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

Ram Gunabalan, MDNPI 1710019955

Title

Manager

Phone

(248) 619-9771

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ram Gunabalan, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1710019955
  NPD (past) Authorized official

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1841433588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845220",
            "telephone_number": "248-619-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 OUTER DR",
            "address_2": "SUITE 401",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462096",
            "telephone_number": "313-383-7147",
            "fax_number": "313-383-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN VISITING PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-619-9771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metroplex Wellness Centre, Inc.
• Metropolitan Health Care Inc (Concord EMS)
• Kyle Alan Metz, PHARM. D.
• Michael a. Izzo DDS PC
• Michigan Rehabilitation Care Inc
• Charsis Miller
• Jessica Misiolek, LLMSW
• Salahuddin Mohamed, PA
• Erin Monahan, LLBSW
• Joseph Anthony Montana, OD

• General Practice Physician in Lincoln Park, MI
• Providers in Lincoln Park, 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 May 21, 2009; 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.