Individual
DR. NEELAKANTAM JOLEPALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44555 WOODWARD AVE, SUITE 405, PONTIAC, MI 48341-5031
(248) 335-4010
(248) 858-3874
Mailing address
44555 WOODWARD AVE, SUITE 405, PONTIAC, MI 48341-5031
(248) 335-4010
(248) 858-3874
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301042763
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042763
LICENSE
MI
05
—
19000659
—
MI
01
—
260631846
BC/BS
MI
01
—
750910401
BCBS
MI
01
—
750910402
BCBS
MI
Enumeration date
08/24/2006
Last updated
03/07/2023
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