# DAVID JONNALAGADDA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184892754
- **Authorized official:** DR. DAVID JONNALAGADDA MD (PRESIDENT)
- **Authorized official phone:** (313) 345-0161

## Contact information

- **Practice address:** 6001 W OUTER DR STE 320, DETROIT, MI 48235-2626
- **Practice address phone:** (313) 345-0161
- **Mailing address:** 6001 W OUTER DR STE 320, DETROIT, MI 48235-2626
- **Mailing address phone:** (313) 345-0161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | DJ033519 | MI | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 04/20/2008