Individual
DR. ASHOK BOINPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6001 W OUTER DR, SUITE 440, DETROIT, MI 48235-2614
(313) 927-3295
(313) 340-1520
Mailing address
6001 W OUTER DR, SUITE 440, DETROIT, MI 48235-2614
(313) 927-3295
(313) 340-1520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AB055363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102979018
—
MI
01
—
3508266792
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/12/2006
Last updated
07/08/2007
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