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Individual

DR. MADHAVI DANDU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B, ANN ARBOR, MI 48108
(734) 936-5582
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301083560
MI
207R00000X
Internal Medicine Physician
A77321
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A773210
CA
05
4624961
MI
Enumeration date
07/16/2006
Last updated
07/09/2007
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