Promita Roychoudhury MD

NPI 1083614002 - Family Medicine - 207Q00000X

NPI Details
NPI 1083614002
Gender Female
Enumeration Date 08/01/2005
Last Updated 02/16/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
210 N LAFAYETTE
SOUTH LYON MI, 48178, US
Phone (248) 437-1744
Fax (248) 446-2420
Business Location
15990 W 9 MILE RD
SOUTHFIELD MI, 48075-4826, US
Phone (248) 849-4226
Fax (248) 849-4240
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301079465
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According to our database, Promita Roychoudhury MD NPI is 1083614002, taxonomy code is 207Q00000X and license number is 4301079465, license state is located at Michigan. Promita Roychoudhury MD physically located at 210 N Lafayette, South Lyon MI, 48178. NPI Number Promita Roychoudhury MD has the Individual type.

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1083614002 NPI number is provided on an as is basis without warranty of any kind. 1083614002 is maintained by the National Plan & Provider Enumeration System. The contents of Promita Roychoudhury MD are for informational purposes only.