Healthcare Provider Details

I. General information

NPI: 1427214212
Provider Name (Legal Business Name): MEDFLEX P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2008
Last Update Date: 08/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 HOSPITAL DR
EAST CHINA MI
48054-2200
US

IV. Provider business mailing address

2656 BYRD ST
DEARBORN MI
48124-4180
US

V. Phone/Fax

Practice location:
  • Phone: 810-329-4736
  • Fax:
Mailing address:
  • Phone: 313-271-4654
  • Fax: 313-271-3442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MUTHIAH SUBRAMANIAN
Title or Position: PRESIDENT
Credential: M.D
Phone: 313-271-4654