MEDICARE: DELIGHT HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1003437195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELIGHT HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	43168 SANDSTONE DR
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-2718
Country	:	US
Telephone Number	:	248-231-5146
Fax Number	:

Provider Business Practice Location Address
First Line	:	4123 MARTIN RD STE 201
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48390-4151
Country	:	US
Telephone Number	:	248-231-2001
Fax Number	:

Authorized Official
Title or Position	:	PHYSCIAL THERAPIST
Name	:	MR. SARATH CHANDER REDDY PASHAM
Credential	:	PT, DPT
Telephone Number	:	248-231-2001

Provider Enumeration Date	:	04/30/2020
Last Update Date	:	04/30/2020

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