MRS. Thresiamma Idichandy, NURSE PRACTITIONER is a family nurse practitioner in Detroit, MI. MRS. Thresiamma Idichandy, NURSE PRACTITIONER NPI is 1063422319. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4646 JOHN R ST
DETROIT, MI
ZIP 48201-916
Phone: (313) 576-1000
Fax: (313) 576-1123
The NPI 1063422319 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.