Nischal Kumar Patnaik Gandreti M.D.

NPI 1073739132 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073739132
Gender Male
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2799 W GRAND BLVD
DETROIT MI, 48202-2608, US
Phone (313) 916-2600
Fax
Business Location
1350 W BETHUNE ST
APT. 2003
DETROIT MI, 48202-2600, US
Phone (734) 358-4614
Fax
Toxanomy
Taxonomy Code 390200000X
License State Michigan
License Number 4301087700
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According to our database, Dr. Nischal Kumar Patnaik Gandreti M.D. NPI is 1073739132, taxonomy code is 390200000X and license number is 4301087700, license state is located at Michigan. Nischal Kumar Patnaik Gandreti M.D. physically located at 2799 W Grand Blvd, Detroit MI, 48202-2608. NPI Number Nischal Kumar Patnaik Gandreti M.D. has the Individual type.

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1073739132 NPI number is provided on an as is basis without warranty of any kind. 1073739132 is maintained by the National Plan & Provider Enumeration System. The contents of Nischal Kumar Patnaik Gandreti M.D. are for informational purposes only.