Chaitanya Mandapakala

NPI 1568783090 - Internal Medicine - 207R00000X

NPI Details
NPI 1568783090
Gender Male
Enumeration Date 06/18/2010
Last Updated 12/28/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
4201 SAINT ANTOINE ST # STREET2E
DETROIT MI, 48201-2153, US
Phone (313) 745-7999
Fax
Business Location
33211 KARIN DR 208
STERLING HEIGHTS MI, 48310-6278, US
Phone (630) 956-3618
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301095990
Remove 1568783090 NPI Number
 

According to our database, Chaitanya Mandapakala NPI is 1568783090, taxonomy code is 207R00000X and license number is 4301095990, license state is located at Michigan. Chaitanya Mandapakala physically located at 4201 Saint Antoine St # Street2e, Detroit MI, 48201-2153. NPI Number Chaitanya Mandapakala has the Individual type.

Sponsored links

1568783090 NPI number is provided on an as is basis without warranty of any kind. 1568783090 is maintained by the National Plan & Provider Enumeration System. The contents of Chaitanya Mandapakala are for informational purposes only.