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Individual

ATUL MEDAVARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4486
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351044756
MI
208M00000X
Hospitalist Physician
Primary
036162089
IL

Other

Enumeration date
06/27/2019
Last updated
09/19/2025
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