Doctor Name: | DR. ARUNA A MEHENDALE |
NPI Number: | 1639256100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301034876 |
Business Practice Address: | 13111 Woodward Ave Highland Park, MI - 482033781 |
Business Phone Number: | 3138652800 |
Business Fax Number: | 3138666661 |
Mailing Address: | 13111 Woodward Ave, HIGHLAND PARK |
State: | MI |
Postal Code: | 482033781 |
Phone Number: | 3138652800 |
Fax Number: | 3138666661 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 10/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301034876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |