Individual
NARAYANA REDDI NANDALUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43171 DALCOMA DR, SUITE 1, CLINTON TWP, MI 48038-6307
(586) 263-9600
(586) 263-9336
Mailing address
43171 DALCOMA DR, SUITE 1, CLINTON TWP, MI 48038-6307
(586) 263-9600
(586) 263-9336
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301049885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0605005782
BCBS
—
05
—
103408167
—
MI
Enumeration date
08/29/2006
Last updated
03/16/2011
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