Most Relevant Information
Provider Data
| NPI Number: | 1003184748 |
| Provider Name: | KHACHORNDEJ VIBHASIRI M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 207RE0101X |
| Specialty: | Internal Medicine |
| License Number: | 4301031487 |
Most Important Dates
| Enumeration Date: | 12/08/2011 |
| Last Updated: | 12/08/2011 |
Provider Practice Location
732 BROOKWOOD WALKE
BLOOMFIELD HILLS
MI
483041900
Practice Location Phone/Fax
| Phone: | 2486446360 |
| Fax: | 2486446360 |
Provider Mailing Location
732 BROOKWOOD WALKE
BLOOMFIELD HILLS
MI
483041900
Provider Mailing Phone/Fax
| Phone: | 2486446360 |
| Fax: | 2486446360 |
Suggested EMR
Endocrinology EMR