Provider Demographics
NPI:1760525893
Name:MILFORD OBSTETRICS & GYNECOLOGY P C
Entity Type:Organization
Organization Name:MILFORD OBSTETRICS & GYNECOLOGY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALCHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:248-685-0444
Mailing Address - Street 1:1181 N MILFORD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1016
Mailing Address - Country:US
Mailing Address - Phone:248-685-0444
Mailing Address - Fax:248-684-0900
Practice Address - Street 1:1181 N MILFORD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1016
Practice Address - Country:US
Practice Address - Phone:248-685-0444
Practice Address - Fax:248-684-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301046746207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty