Individual
DR. ANANTHAMURTHY HANIYA NAGABHUSHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCA
Contact information
Practice address
4201 SAINT ANTOINE ST, DRH/UHC SUIT 3J.1.1, DETROIT, MI 48201-2153
(313) 745-4300
(313) 745-4777
Mailing address
3990 JOHN R ST, BOX 162, DETROIT, MI 48201-2018
(313) 745-7233
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301094247
MI
Other
Enumeration date
07/21/2009
Last updated
02/06/2013
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