Organization
PRATIMA BOINEPALLI MD, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIMA BOINEPALLI M.D (PHYSICIAN)
(517) 347-4660
Entity
Organization
Contact information
Practice address
1901 BELWOOD DR, OKEMOS, MI 48864-5908
(517) 347-4660
Mailing address
1901 BELWOOD DR, OKEMOS, MI 48864-5908
(517) 347-4660
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301085879
MI
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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