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Individual

GANESH SUBRAMANYAM PALAPATTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
236279
NY
208800000X
Urology Physician
Primary
4301101647
MI
208800000X
Urology Physician
N3970
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02670244
NY
01
1124074786
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/25/2006
Last updated
05/02/2019
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