Individual
FNU KAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 691-8646
Mailing address
12745 S SAGINAW ST # 806-196, GRAND BLANC, MI 48439-2437
(248) 691-8646
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301509431
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2020
Last updated
10/16/2023
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