Individual
ANJANA MYNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
43494 WOODWARD AVE, SUITE 208, BLOOMFIELD HILLS, MI 48302-5052
(248) 335-7740
(248) 338-7979
Mailing address
43494 WOODWARD AVE, SUITE 208, BLOOMFIELD HILLS, MI 48302-5052
(248) 335-7740
(248) 338-7979
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301087510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N50760005
MEDICARE
MI
Enumeration date
03/22/2007
Last updated
11/22/2011
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