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Individual
ADITYA D. BULUSU
Active
Individual
ADITYA D. BULUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
AB076885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990461
HEALTHPLUS-SAGINAW
MI
01
—
0990537
HEALTHPLUS-BAY
MI
01
—
340019505
TRI CARE
MI
01
—
340G310500
BLUE CROSS
MI
05
—
4279350
—
MI
01
—
5272733
AETNA
MI
Enumeration date
08/24/2005
Last updated
09/20/2023
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