Individual
PARIMALA DOMMETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17000 HUBBARD DR, DEARBORN, MI 48126-4258
(313) 982-4351
(313) 982-4370
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301079469
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301079469
MI
Other
Enumeration date
02/13/2007
Last updated
03/17/2021
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