Organization
METRO DETROIT RENAL DOCTOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH LATTUPALLI MD (OWNER)
(313) 247-6037
Entity
Organization
Contact information
Practice address
1349 S ROCHESTER RD STE 115, ROCHESTER HILLS, MI 48307-3151
(248) 759-4852
(248) 759-4854
Mailing address
PO BOX 3272, SAGINAW, MI 48605-3272
(989) 797-1400
(989) 797-4077
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
04/29/2022
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