Healthcare Provider Details

I. General information

NPI: 1528059797
Provider Name (Legal Business Name): SEILESH C BABU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30055 NORTHWESTERN HWY STE 101
FARMINGTON HILLS MI
48334
US

IV. Provider business mailing address

30055 NORTHWESTERN HWY STE 101
FAMINGTON HILLS MI
48334
US

V. Phone/Fax

Practice location:
  • Phone: 248-865-4444
  • Fax: 248-865-6161
Mailing address:
  • Phone: 248-865-4444
  • Fax: 248-865-6161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number35.087286
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number4301069643
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number4301069643
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: