Individual
DR. ANIRUDH PENUMETCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1015 S WASHINGTON AVE, SAGINAW, MI 48601-2556
(989) 754-3000
(989) 754-3006
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 754-3000
(989) 754-3006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101025546
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
08/10/2021
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