Individual
HANUMAIAH BANDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DETROIT RECEIVING HOSPITAL CRISIS CENTER, 4201 ST ANTOINE, DETROIT, MI 48201
(313) 745-2835
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301047405
MI
Other
Enumeration date
06/03/2006
Last updated
09/24/2007
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