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Individual

JANAKI V ANNAVARAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24555 HAIG ST, TAYLOR, MI 48180-3322
(313) 375-2000
Mailing address
24555 HAIG ST, TAYLOR, MI 48180-3322
(313) 375-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067416
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4314996-10
MI
Enumeration date
05/02/2006
Last updated
03/30/2021
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