Organization
SG PEDIATRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRILAKSHMI PINNAMARAJU M.D (AUTHORIZED OFFICAIL)
(248) 662-4091
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 320, NOVI, MI 48374-1213
(248) 662-4091
Mailing address
26850 PROVIDENCE PKWY, SUITE 320, NOVI, MI 48374-1213
(248) 662-4091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4534292
—
MI
05
—
4566240
—
MI
05
—
4721221
—
MI
05
—
4721230
—
MI
Enumeration date
11/06/2006
Last updated
12/30/2013
Update your record
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