Vellappillil Gangadharan M.D.

NPI 1720038953 - Specialist - 174400000X

NPI Details
NPI 1720038953
Gender Male
Enumeration Date 05/10/2006
Last Updated 04/27/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
27901 WOODWARD AVE
SUITE 300
BERKLEY MI, 48072-0919, US
Phone (248) 545-0070
Fax (248) 545-4850
Business Location
27901 WOODWARD AVE
SUITE 300
BERKLEY MI, 48072-0919, US
Phone (248) 545-0070
Fax (248) 545-4850
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 4301031435
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According to our database, Dr. Vellappillil Gangadharan M.D. NPI is 1720038953, taxonomy code is 174400000X and license number is 4301031435, license state is located at Michigan. Vellappillil Gangadharan M.D. physically located at 27901 Woodward Ave, Berkley MI, 48072-0919. NPI Number Vellappillil Gangadharan M.D. has the Individual type.

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1720038953 NPI number is provided on an as is basis without warranty of any kind. 1720038953 is maintained by the National Plan & Provider Enumeration System. The contents of Vellappillil Gangadharan M.D. are for informational purposes only.