Individual
KAMALAKAR CHINA NERUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, STE 5C UHC, DETROIT, MI 48201-2153
(313) 745-7999
(313) 966-6400
Mailing address
1560 E MAPLE ROAD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(313) 745-7999
(313) 966-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301091023
MI
207R00000X
Internal Medicine Physician
L1182701
MI
208M00000X
Hospitalist Physician
4301091023
MI
Other
Enumeration date
05/05/2008
Last updated
03/01/2016
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