Individual
PAUL THOTTAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3088 GLOUCHESTER DR, TROY, MI 48084-2715
(284) 898-5000
Mailing address
3088 GLOUCHESTER DR, TROY, MI 48084-2715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
64457-20
MI
Other
Enumeration date
07/20/2009
Last updated
12/12/2016
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