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Individual

KOMAL MENDIRATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4201 ST. ANTOINE, UNIVERSITY HEALTH CENTER 5C, DETROIT, MI 48201
(313) 577-4342
(313) 577-4342
Mailing address
30530 RUSHMORE CIR, FRANKLIN, MI 48025-2301
(248) 914-5095

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
05/13/2022
Last updated
04/30/2024
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