Individual
MADAIAH KUSUMA-TALAKADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
814 N MACOMB ST, MONROE, MI 48162-3085
(734) 243-5720
(734) 243-9261
Mailing address
814 N MACOMB ST, MONROE, MI 48162-3085
(734) 243-5720
(734) 243-9261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301096025
MI
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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