Individual
DR. KRISHNAKUMAR PARDANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2888 W GRAND BLVD, DETROIT, MI 48202-2612
(313) 875-5363
(313) 875-5727
Mailing address
7700 2ND AVE, DETROIT, MI 48202-2411
(313) 202-8660
(313) 202-8653
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301042063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5090753
—
MI
Enumeration date
11/01/2006
Last updated
02/21/2012
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