Organization
DIVINE ARRIVAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTHI NICHANAMETLA MD (DOCTOR)
(734) 981-2800
Entity
Organization
Contact information
Practice address
5820 N CANTON CENTER RD STE 120, CANTON, MI 48187-2679
(734) 981-2800
(734) 981-9028
Mailing address
5820 N CANTON CENTER RD STE 120, CANTON, MI 48187-2679
(734) 981-2800
(734) 981-9028
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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