Supra Vascular Associates Plc

NPI #1811401045 in Allen Park, Michigan

Provider Information

NPI Number: 1811401045
Entity Type: Organization
Organization Name: Supra Vascular Associates Plc
Primary Specialty: Specialist
Enumeration Date: Nov 27, 2017
Last Updated: Jan 30, 2019

Practice Location

Address: 16507 SOUTHFIELD RD
City: Allen Park
State: Michigan
ZIP Code: 48101-2503
Phone: (313) 389-0648

Authorized Official

Name: DR. SUDHEER UMMADI, MD
Title: MANAGER
Phone: (313) 389-0648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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