Individual
DR. AVIKSHITHA SUDHAKARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC 9C, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
4201 SAINT ANTOINE ST, UHC 9C, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1679937189
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/11/2016
Last updated
02/05/2021
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