Individual
NEETHI VENKATAPPA GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43134 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1723
(586) 446-8688
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-8033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112419
MI
207RI0200X
Infectious Disease Physician
Primary
4301500351
MI
390200000X
Student in an Organized Health Care Education/Training Program
MT206833
PA
Other
Enumeration date
06/11/2014
Last updated
07/03/2019
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