Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vijaya Challa, M.d.p.c.

Organization Primary Care Clinic/Center · NPI 1629332218

Vijaya Challa, M.d.p.c. is a Primary Care Clinic/Center in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

24604 Michigan Ave Ste 100
Dearborn, MI 48124-1760
Phone: (313) 562-9020
Fax: (313) 562-8511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence VC080035 (MI)

Record details

NPI number1629332218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venky Challa — Office Manager · (313) 562-9020
NPI enumeratedJune 27, 2012
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address24604 Michigan Ave Ste 100, Dearborn, MI 48124-1760

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