Individual
VINAYATA MANUBALLA KARETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(661) 948-0803
Mailing address
1753 W AVENUE J, SUITE B, LANCASTER, CA 93534-9823
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
1003128695
MI
207RG0100X
Gastroenterology Physician
Primary
14986
CA
Other
Enumeration date
07/12/2010
Last updated
11/29/2021
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