Individual
KABIR MENDIRATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1941
Mailing address
30530 RUSHMORE CIR, FRANKLIN, MI 48025-2301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101025103
MI
Other
Enumeration date
03/05/2015
Last updated
10/29/2019
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