Id Care PC

NPI #1669656112 in Lansing, Michigan

Provider Information

NPI Number: 1669656112
Entity Type: Organization
Organization Name: Id Care PC
Primary Specialty: Internal Medicine - Infectious Disease
Enumeration Date: Dec 19, 2007
Last Updated: Sep 11, 2008

Practice Location

Address: 1808 S PENNSYLVANIA AVE
Address 2: SUITE E
City: Lansing
State: Michigan
ZIP Code: 48910-1897
Phone: (517) 371-1500

Authorized Official

Name: KALYANI VANGALA, M.D.
Title: PRESIDENT
Phone: (517) 364-5590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X	Primary

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