Individual
NAGARATNA SARVADEVABATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 SAINT ANTOINE ST, 5C-UHC, DETROIT, MI 48201-2153
(313) 745-7999
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 793-6140
(865) 560-8948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4801103841
MI
Other
Enumeration date
04/09/2013
Last updated
11/15/2017
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