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Individual

BEENA NAGAPPALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
42645 GARFIELD RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-5022
(586) 286-0050
(586) 286-0880
Mailing address
42645 GARFIELD RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-5022
(586) 286-0050
(586) 286-0880

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074847
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4612530
MI
Enumeration date
08/16/2005
Last updated
12/18/2007
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