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Individual

RAMA KRISHNA ALAVALAPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11900 TWELVE MILE ROAD, SUITE 200, WARREN, MI 48093
(586) 558-9033
(586) 573-4209
Mailing address
11900 TWELVE MILE ROAD, SUITE 200, WARREN, MI 48093
(586) 558-9033
(586) 573-4209

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301051374
MI
207RN0300X
Nephrology Physician
Primary
4301051374
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3127792
MI
Enumeration date
08/21/2006
Last updated
07/15/2011
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