Individual
KRISHNA BALABHADRAPATRUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 ST ANTOINE, UHC 5C, DETROIT, MI 48201
(313) 577-4342
(313) 745-4707
Mailing address
4201 ST ANTOINE, UHC 5C, DETROIT, MI 48201
(313) 577-4342
(313) 745-4707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301094681
MI
208000000X
Pediatrics Physician
4301094681
MI
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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