Individual
ANANDA VIGNESWARI ANEBARASSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
49912 PARKSIDE DR, NORTHVILLE, MI 48168-6825
(669) 264-8215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351048818
MI
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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