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Individual

DR. SRILAKSHMI PINNAMARAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
26850 PROVIDENCE PKWY STE 320, NOVI, MI 48374-1259
(248) 662-4091
(248) 662-0365
Mailing address
26850 PROVIDENCE PKWY STE 320, NOVI, MI 48374-1259
(248) 662-4091
(248) 662-0365

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SP070569
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300163180
TAX ID
MI
05
4534292
MI
Enumeration date
04/11/2006
Last updated
03/17/2015
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