Healthcare Provider Details

I. General information

NPI: 1497906218
Provider Name (Legal Business Name): RAMESH CHHEDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 10/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27950 ORCHARD LAKE RD SUITE 116
FARMINGTON HILLS MI
48334-3758
US

IV. Provider business mailing address

27950 ORCHARD LAKE RD SUITE 115
FARMINGTON HILLS MI
48334-3758
US

V. Phone/Fax

Practice location:
  • Phone: 248-865-3434
  • Fax: 248-865-3308
Mailing address:
  • Phone: 248-865-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number4301045264
License Number StateMI

VIII. Authorized Official

Name: RAMESH CHHEDA
Title or Position: OWNER
Credential: M.D.
Phone: 248-865-3434