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CENTER FOR INDIVIDUALIZED MEDICINE PLLC
NPI 1760814289
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wyandotte, MI

Active since August 07, 2013
1404 BIDDLE AVE, WYANDOTTE, MI 48192(734) 624-8000(734) 326-1443 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Center For Individualized Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR INDIVIDUALIZED MEDICINE PLLC (NPI 1760814289) is a healthcare organization registered as a child & adolescent psychiatry in Wyandotte, Michigan and active in the NPI registry since August 2013. The organization lists Surjit S Mahal, Owner, as its authorized official.

NPPES Registry Identity

NPI1760814289
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameCENTER FOR INDIVIDUALIZED MEDICINE PLLC
Location Address1404 BIDDLE AVEWyandotte, MI 48192-3706
Mailing AddressPo Box 251921West Bloomfield, MI 48325-1921 · (734) 324-8000 · Fax (734) 324-0993
Phone(734) 624-8000
Fax(734) 326-1443
Organization SubpartNo
Authorized OfficialSurjit S MahalOwner · (734) 324-8000
Enumeration DateAugust 7, 2013
✔ NPI 1760814289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MI · 4301046425
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1404 BIDDLE AVE, Wyandotte, MI 48192
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SURJIT SINGH MAHAL M.D.
Psychiatry & Neurology (Psychiatry)
1404 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 324-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Individualized Medicine PLLC's NPI number?

The NPI number for Center For Individualized Medicine PLLC is 1760814289. It was assigned to this organization in the NPPES registry on August 7, 2013.

Where is Center For Individualized Medicine PLLC located?

Center For Individualized Medicine PLLC is located at 1404 Biddle Ave, Wyandotte, MI 48192. The listed phone number is (734) 624-8000.

What is Center For Individualized Medicine PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Center For Individualized Medicine PLLC was last updated on August 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.