Provider Demographics
NPI:1497906218
Name:RAMESH CHHEDA
Entity Type:Organization
Organization Name:RAMESH CHHEDA
Other - Org Name:MEDICAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-865-3434
Mailing Address - Street 1:27950 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3758
Mailing Address - Country:US
Mailing Address - Phone:248-865-3434
Mailing Address - Fax:
Practice Address - Street 1:27950 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 116
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3758
Practice Address - Country:US
Practice Address - Phone:248-865-3434
Practice Address - Fax:248-865-3308
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGEL HOME VISITING PHYSICIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010452642084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1867240Medicaid
MI1867240Medicaid