Individual
DR. NALINI CHAKRAVARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37595 7 MILE RD, SUITE 420, LIVONIA, MI 48152-1003
(734) 459-7444
(734) 459-7755
Mailing address
DEPT 77913, PO BOX 77000, DETROIT, MI 48272-0001
(734) 459-7444
(734) 459-7755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NC075540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300163180
TAX ID
MI
05
—
4534292
—
MI
Enumeration date
04/06/2006
Last updated
12/14/2010
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