Individual
ANURADHA YARLAGADDA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6530 FARMINGTON RD, WEST BLOOMFIELD, MI 48322-3216
(248) 661-5100
Mailing address
1614 LEXINGTON DR, TROY, MI 48084-5707
(248) 661-5100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301083373
MI
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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