Individual
DR. ASHVIN KARTHIK TADAKAMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3234
Mailing address
900 MARTIN LUTHER KING JR BLVD S, #G129 FOX POINTE APARTMENTS, PONTIAC, MI 48341-2900
(630) 945-1247
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L1346413
MI
208M00000X
Hospitalist Physician
Primary
284882
NY
Other
Enumeration date
09/23/2008
Last updated
07/20/2018
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