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Individual

AJITH K KADAKOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1701 SOUTH BLVD E STE B75, ROCHESTER HILLS, MI 48307-6122
(248) 243-3935
(248) 284-7530
Mailing address
3205 LEGACY CT, W BLOOMFIELD, MI 48323-3634
(248) 243-3935
(248) 284-7530

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
223607
MA
2086S0129X
Vascular Surgery Physician
Primary
AK093222
MI

Other

Enumeration date
05/30/2006
Last updated
03/17/2018
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