Individual
JAHNAVI THUMMALURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44405 WOODWARD AVE # H-23, PONTIAC, MI 48341-5023
(248) 858-6233
Mailing address
1675 BLOOMFIELD PLACE DR 511, BLOOMFIELD HILLS, MI 48302-0884
(248) 480-6095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301107378
MI
Other
Enumeration date
06/29/2015
Last updated
10/26/2015
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