# DHUPATI SITARAM, M.D., P.C.

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

## Provider details

- **NPI number:** 1861747180
- **Authorized official:** DR. DHUPATI SITARAM M.D. (PRESIDENT)
- **Authorized official phone:** (313) 342-6100

## Contact information

- **Practice address:** 6001 W OUTER DR, SUITE 300, DETROIT, MI 48235-2614
- **Practice address phone:** (313) 342-6100
- **Practice address fax:** (313) 342-6101
- **Mailing address:** 6001 W OUTER DR, SUITE 300, DETROIT, MI 48235-2614
- **Mailing address phone:** (313) 342-6100
- **Mailing address fax:** (313) 342-6101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 037731 | MI | Yes |

## Other

- **Enumeration date:** 07/24/2012
- **Last updated:** 07/24/2012