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Individual

ANIL K ATTILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP C, ANN ARBOR, MI 48109-5030
(734) 936-4566
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
42892
KY
2085R0202X
Diagnostic Radiology Physician
Primary
4301081838
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4531817
MI
05
7100078020
KY
Enumeration date
10/16/2006
Last updated
07/15/2015
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