Individual
DR. DATHATREYA KANDAGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18161 W 13 MILE RD, SUITE E-3, SOUTHFIELD, MI 48076-1113
(248) 644-6272
(248) 644-6276
Mailing address
18161 W 13 MILE RD, SUITE E-3, SOUTHFIELD, MI 48076-1113
(248) 644-6272
(248) 644-6276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014024
MI
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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