Organization
MICHIGAN MEDICAL ANESTHESIA, .P,C,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENKATA KILARU M.D. (PRESIDENT)
(810) 720-1730
Entity
Organization
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 720-1730
Mailing address
1051 PROFESSIONAL DR, FLINT, MI 48532-3636
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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