Individual
DR. ANITHA KOMPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(734) 464-0887
(734) 402-0254
Mailing address
36115 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099823
MI
208M00000X
Hospitalist Physician
4301099823
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
05/14/2008
Last updated
10/24/2023
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