Organization Name: | COMPLETE MOBILE MEDICAL CARE, PLLC |
NPI Number: | 1447492939 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VINOD SHARMA (MEMBER) |
Mailing Address: | 1838 Squirrel Valley Dr Bloomfield Hills |
State: | MI US |
Postal Code: | 483041146 |
Phone Number: | 2485373012 |
Fax Number: | 2484996255 |
NPI Enumeration Date: | 03/30/2009 |
NPI Last Update Date: | 03/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301050478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |