Individual
VEERABRAHMAM PRATHIKANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6373 KINGS POINTE RD, GRAND BLANC, MI 48439-8797
(918) 458-3360
(918) 458-3511
Mailing address
6373 KINGS POINTE RD, GRAND BLANC, MI 48439-8797
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301031190
MI
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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