Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 430108095 | MI |
NPI | 1063622454 |
---|---|
Provider Name | Anupama Vansadia |
First Address | Rochester Hills, MI 48307-7300 |
Second Address | Rochester Hills, MI 48306-4378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 04/10/2017 |