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Individual

KRISHNA POTHUGUNTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
4600 INVESTMENT DR, SUITE 290, TROY, MI 48098-6365
(248) 267-5010
Mailing address
4600 INVESTMENT DR, SUITE 290, TROY, MI 48098-6365
(248) 267-5010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301093847
MI
207RN0300X
Nephrology Physician
4301093847
MI

Other

Enumeration date
05/26/2009
Last updated
02/03/2016
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