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Organization

DETROIT MEDICAL CENTER

Active
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Organization

DETROIT MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIREETI POTU M.D (FELLOW)
(713) 657-5012
Entity
Organization

Contact information

Practice address
39180 CITATION PL, APT # 35104, FARMINGTON HILLS, MI 48331-4901
(713) 657-5012
Mailing address
39180 CITATION PL, APT # 35104, FARMINGTON HILLS, MI 48331-4901
(713) 657-5012

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
4301094041
MI

Other

Enumeration date
08/02/2009
Last updated
08/02/2009
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