Individual
SUPARNA SHETTY MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1500 E MEDICAL CENTER DR SPC 5312, 1904 TAUBMAN CENTER, ANN ARBOR, MI 48109-5312
(734) 936-7507
(734) 763-4006
Mailing address
1500 E MEDICAL CENTER DR, 1904 TAUBMAN CENTER, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000204
MI
Other
Enumeration date
09/03/2008
Last updated
03/23/2010
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