Organization
KP ANANDAKRISHNAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KP ANANDAKRISHNAN M.D. (PRESIDENT)
(734) 326-3353
Entity
Organization
Contact information
Practice address
5189 VENOY RD, WAYNE, MI 48184-2545
(734) 326-3353
(734) 326-9130
Mailing address
5189 VENOY RD, WAYNE, MI 48184-2545
(734) 326-3353
(734) 326-9130
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301031632
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829938
BCBS
MI
Enumeration date
01/28/2010
Last updated
10/21/2014
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