Individual
RAJENDRA KANNEGANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20100 GREENFIELD RD, DETROIT, MI 48235-1803
(313) 342-2699
(313) 342-2180
Mailing address
2115 BIRCHWOOD WAY, BLOOMFIELD HILLS, MI 48302-1603
(248) 538-8992
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301052433
MI
Other
Enumeration date
11/29/2006
Last updated
09/02/2009
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