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Contact Information

INTERNATIONAL MEDICAL CLINIC PLLC
43902 WOODWARD AVE STE 100
BLOOMFIELD TOWNSHIP, MI48302-5021
 Phone: 248-955-9949
 Fax: 248-928-2274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for INTERNATIONAL MEDICAL CLINIC PLLC

NPI # 1306473418
LBN Legal business name INTERNATIONAL MEDICAL CLINIC PLLC
Authorized official RAMESH MADHAVAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2020
Last updated 01/11/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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