Individual
DR. VENKAT RAMANA MODUKURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS MD MRCS
Contact information
Practice address
29000 LITTLE MACK AVE, HAWASLI & ASSOCIATES SURGICAL SPECIALISTS ,P.C, SAINT CLAIR SHORES, MI 48081-3018
(586) 774-8811
Mailing address
29000 LITTLE MACK AVE, HAWASLI & ASSOCIATES SURGICAL SPECIALISTS ,P.C, SAINT CLAIR SHORES, MI 48081-3018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301109465
MI
Other
Enumeration date
12/02/2013
Last updated
09/01/2016
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