Organization
DAMAYANTHI PANDRANGI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMAYANTHI V PANDRANGI MD (OWNER)
(810) 733-0500
Entity
Organization
Contact information
Practice address
1170 CHARTER DR, SUITE E, FLINT, MI 48532-3587
(810) 733-0500
(810) 733-5949
Mailing address
5155 NORKO DR, FLINT, MI 48507-3021
(810) 230-7042
(810) 743-1610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4402239
—
MI
Enumeration date
05/14/2008
Last updated
08/26/2008
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