Individual
MAHESHA MAKANDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 344-6688
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301501798
MI
Other
Enumeration date
04/12/2016
Last updated
09/11/2024
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