Individual
SAMBASIVA KOTTAMASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 N CENTER RD, SUITE 400, SAGINAW, MI 48603-7920
(989) 799-5600
Mailing address
3400 N CENTER RD, SUITE 400, SAGINAW, MI 48603-7920
(989) 799-5600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301033432
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4345929
—
MI
Enumeration date
01/25/2006
Last updated
06/04/2010
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