Individual
KARTHIKEYAN ANANTHASUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2721
(313) 916-1249
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2721
(313) 916-1249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301059145
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301059145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H264410
BLUE CROSS-BLUE CROSS
—
05
—
413397210
—
MI
01
—
KA059145
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
09/19/2023
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