Individual
SHARADASHREE DEVARAHALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0633
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(248) 577-9221
(248) 577-3302
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301088969
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301088969
MI
Other
Enumeration date
03/16/2007
Last updated
10/05/2022
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