Individual
LALITHA RUDRAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15500 19 MILE RD STE 360, CLINTON TOWNSHIP, MI 48038-6331
(586) 649-9009
(586) 690-8632
Mailing address
2689 SOLUTION CENTER, CHICAGO, IL 60677-3848
(586) 329-1880
(586) 231-0055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301076745
MI
Other
Enumeration date
09/13/2006
Last updated
12/22/2020
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