MD WELLNESS LLC NPI 1194240606

NPI Information

  • NPI: 1194240606
  • Provider Name: MD WELLNESS LLC
  • Classification: Medical Foods Supplier - 335G00000X
  • Entity Type: Organization
  • Address: 28373 DEQUINDRE RD
    MADISON HEIGHTS, MI
    ZIP 48071
  • Phone: (313) 209-3353

Map and Directions

Get Directions

NPI Details

MD WELLNESS LLC is a medical foods supplier in Madison Heights, MI. The provider is a supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. MD WELLNESS LLC NPI is 1194240606. The provider is registered as an organization entity type.

The provider's business location address is:

28373 DEQUINDRE RD
MADISON HEIGHTS, MI
ZIP 48071-003
Phone: (313) 209-3353
Fax: (313) 406-7255

The provider's authorized official is Vandana Ramaiah .
The authorized official title is Program Director and has the following contact phone number (727) 687-9102.

The enumeration date for this NPI number is 8/4/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335G00000XMedical Foods SupplierL17000121902FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI