Individual
KAMALA J VANAHARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7828 22 MILES RD, UTICA, MI 48317
(586) 254-8581
(586) 254-5232
Mailing address
7828 22 MILES RD, UTICA, MI 48317
(586) 254-8581
(586) 254-5232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301045820
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125846
—
MI
Enumeration date
04/20/2006
Last updated
05/16/2013
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