Individual
LALITHA BHOGINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 TOWN CENTER DR STE 209, BEAUMONT CIVIC CENTER INTERNAL MEDICINE, TROY, MI 48084-1744
(248) 585-8340
(248) 585-8341
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065478
MI
Other
Enumeration date
07/02/2006
Last updated
10/23/2020
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