Individual
ANURADHA VEMPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30795 23 MILE RD, #202, CHESTERFIELD, MI 48047
(586) 421-1740
(586) 421-1744
Mailing address
30795 23 MILE RD STE 202, CHESTERFIELD, MI 48047-5721
(586) 421-1740
(586) 421-1744
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AV071876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137758
CARE CHOICES
MI
01
—
147806
GLHP
MI
01
—
16838
MCARE
MI
01
—
350F314450
BCBS OF MICHIGAN
MI
05
—
4676860
—
MI
01
—
7703494
AETNA
MI
01
—
H93875
HAP
MI
01
—
P34014F
BCN
MI
Enumeration date
09/13/2005
Last updated
06/17/2020
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