Individual
PRASANTH TALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 857-6700
Mailing address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 857-6700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351052046
MI
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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