Individual
DR. ANURADHA L PUTTAGUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR, ROOM 5115, YPSILANTI, MI 48197-1014
(734) 434-4430
(734) 434-7634
Mailing address
4853 GULLANE DR, ANN ARBOR, MI 48103-8701
(734) 998-0582
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
AP072522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105601221
BCBS OF MI PIN
MI
05
—
455879510
—
MI
01
—
AP072522
MI LICENSE NUMBER
MI
Enumeration date
05/25/2006
Last updated
03/07/2023
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