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Individual

SUBHASHREE MALLIKA KRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-9060
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(317) 338-7541

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5101026570
MI
207ZP0104X
Chemical Pathology Physician
5101026570
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2015
Last updated
09/28/2023
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