Individual
PREETHA LAKSHMI BALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5635
(313) 966-0665
Mailing address
4201 ST ANTOINE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006018659
MO
2080P0202X
Pediatric Cardiology Physician
Primary
4301101212
MI
Other
Enumeration date
02/04/2008
Last updated
07/19/2012
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