MEDICARE: KALYANI PALANIAPPAN R.PH

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	183500000X	Pharmacist	5302035150	MI

General Provider Information

NPI Number	:	1104949015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALYANI PALANIAPPAN R.PH

Provider Business Mailing Address
First Line	:	24323 BELLINGHAM DR
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-2534
Country	:	US
Telephone Number	:	248-344-1966
Fax Number	:

Provider Business Practice Location Address
First Line	:	42481 W. 13 MILE RD
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-2009
Country	:	US
Telephone Number	:	248-668-8208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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Directions to “ KALYANI PALANIAPPAN R.PH” Practice Location

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