Individual
NITHI FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 BEAUBIEN - 4TH FL, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-5638
(313) 745-5867
Mailing address
4201 ST. ANTOINE - UHC 5D MAILBOX 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301111617
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301111617
MI
Other
Enumeration date
05/06/2014
Last updated
03/15/2017
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