Individual
DR. KAVITHA BHAGAVATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35330 NANKIN BLVD, SUITE 701, WESTLAND, MI 48185-7223
(734) 266-2525
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301080498
MI
Other
Enumeration date
06/26/2006
Last updated
10/22/2020
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