Individual
RENUKA HEDDURSHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1854 W AUBURN RD, SUITE 200, ROCHESTER HILLS, MI 48309-3868
(248) 853-2323
(248) 853-8890
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301080813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499612510
—
MI
Enumeration date
08/21/2006
Last updated
11/23/2016
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