Organization
DHUPATI SITARAM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHUPATI SITARAM M.D. (PRESIDENT)
(313) 342-6100
Entity
Organization
Contact information
Practice address
6001 W OUTER DR, SUITE 300, DETROIT, MI 48235-2614
(313) 342-6100
(313) 342-6101
Mailing address
6001 W OUTER DR, SUITE 300, DETROIT, MI 48235-2614
(313) 342-6100
(313) 342-6101
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
037731
MI
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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