Organization
PUTHA LIMB CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PINNAMANENI RAMAKRISHNA PRASAD MD (MANAGING PARTNER)
(313) 389-0648
Entity
Organization
Contact information
Practice address
16507 SOUTHFIELD RD, ALLEN PARK, MI 48101-2503
(313) 389-0648
(313) 389-3510
Mailing address
16507 SOUTHFIELD RD, ALLEN PARK, MI 48101-2503
(313) 389-0648
(313) 389-3510
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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