Individual
MR. PRADEEP BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5250 AUTO CLUB DR STE 290A, DEARBORN, MI 48126-2619
(313) 448-9220
(313) 221-9957
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301512568
MI
Other
Enumeration date
05/11/2023
Last updated
10/20/2025
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