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Individual

DIVYESH REDDY NEMAKAYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
804 SERVICE RD RM A225, EAST LANSING, MI 48824-7015
(517) 353-4941
(517) 432-3145
Mailing address
788 SERVICE RD RM B301, EAST LANSING, MI 48824-7013
(517) 353-5100
(517) 432-2759

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301109731
MI
207RG0100X
Gastroenterology Physician
01090619A
IN
207RG0100X
Gastroenterology Physician
036166094
IL
207RG0100X
Gastroenterology Physician
Primary
25MA11856000
NJ
207RG0100X
Gastroenterology Physician
89779
SC
207RG0100X
Gastroenterology Physician
C1-0027053
DE

Other

Enumeration date
06/20/2016
Last updated
01/15/2025
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