Individual
SRINIVAS BALIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17940 FARMINGTON, SUITE 130, LIVONIA, MI 48152
(734) 266-2488
(734) 266-3632
Mailing address
17940 FARMINGTON, SUITE 130, LIVONIA, MI 48152
(734) 266-2488
(734) 266-3632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301040662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3145781
—
MI
Enumeration date
10/04/2006
Last updated
07/08/2007
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