Individual
BABU R VADLAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 WALTER P CHRYSLER SERVICE DR., DETROIT, MI 48201-2167
(313) 993-3434
(313) 993-3421
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 581-5971
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301403470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1758872
—
MI
Enumeration date
05/31/2006
Last updated
09/23/2016
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