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Individual

DR. PRATIK DIPAKESHWAR BHATTACHARYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
44555 WOODWARD AVE, SUITE 104, PONTIAC, MI 48341-5031
(248) 858-6104
(248) 858-6115
Mailing address
44428 WOODWARD AVE, SUITE 101-CREDENTIALING, PONTIAC, MI 48341-5009
(248) 858-6144
(248) 858-6232

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301088454
MI
2084V0102X
Vascular Neurology Physician
4301088454
MI

Other

Enumeration date
11/14/2008
Last updated
06/04/2021
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