Individual
DR. NARASIMHARAJU L BHUPATHIRAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
577 INKSTER RD, GARDEN CITY, MI 48135-4117
(734) 458-2111
(734) 458-1955
Mailing address
577 INKSTER RD, GARDEN CITY, MI 48135-4117
(734) 458-2111
(734) 458-1955
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
NR037041
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1094781
—
MI
Enumeration date
11/13/2006
Last updated
07/08/2007
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