Individual
DR. MAYURI DASARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 N TELEGRAPH RD, PONTIAC, MI 48341-1037
(248) 234-7540
(248) 581-8716
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(127) 339-7303
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.058795
IL
Other
Enumeration date
07/08/2010
Last updated
06/08/2022
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