Individual
ANUPAMA REDDY KOTTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST STE 5A, DETROIT, MI 48201-2153
(313) 966-2492
(313) 993-0657
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082247
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301082247
MI
Other
Enumeration date
03/11/2009
Last updated
02/24/2022
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