Individual
DR. GIREESH VELUGUBANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21700 NORTHWESTERN HWY STE 150, SOUTHFIELD, MI 48075-4906
(419) 777-8260
(947) 282-1112
Mailing address
44648 MOUND RD STE 131, STERLING HEIGHTS, MI 48314-1322
(419) 777-8260
(947) 282-1112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301087670
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301087670
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578934600
NPI-2 ORGANIZATION
MI
Enumeration date
07/28/2008
Last updated
03/31/2025
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