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Individual

CHALAKUDY V RAMAKRISHNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PC

Contact information

Practice address
17940 FARMINGTON RD, SUITE 230, LIVONIA, MI 48152-4444
(734) 422-4748
(734) 422-5076
Mailing address
17940 FARMINGTON RD, SUITE 230, LIVONIA, MI 48152-4444
(734) 422-4748
(734) 422-5076

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301049207
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTAN
0P03480
MI
Enumeration date
04/19/2006
Last updated
09/18/2013
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