Individual
AMITHA PARVATANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1561
(586) 772-7180
(586) 279-0033
Mailing address
28001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1561
(586) 772-7180
(586) 279-0033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301089533
MI
Other
Enumeration date
01/22/2008
Last updated
11/07/2022
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