Individual
DR. SRILATHA MALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-4872
Mailing address
28849 HEARTHSTONE DR, NOVI, MI 48377-2722
(248) 438-1038
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-096328
OH
207L00000X
Anesthesiology Physician
4301079527
MI
207L00000X
Anesthesiology Physician
Primary
ME133784
FL
Other
Enumeration date
05/22/2007
Last updated
03/26/2026
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