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Individual

RATNAVALI BUTCHI PERLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
26850 PROVIDENCE PKWY, SUITE 320, NOVI, MI 48374-1213
(248) 662-4091
(248) 662-0365
Mailing address
26850 PROVIDENCE PKWY, SUITE 320, NOVI, MI 48374-1213
(248) 662-4091
(248) 662-0365

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301043368
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770115-10
MI
05
177011510
MI
05
453429210
MI
Enumeration date
07/29/2005
Last updated
03/17/2015
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