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Individual

DR. ANANDA VISHNU PANDURANGADU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GENESYS PKWY, DEPT OF EMERGENCY MEDICINE, GENESYS REGIONAL MED CTR, GRAND BLANC, MI 48439-8065
(810) 606-5933
Mailing address
1 GENESYS PKWY, DEPT OF EMERGENCY MEDICINE, GENESYS REGIONAL MED CTR, GRAND BLANC, MI 48439-8065

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036140062
IL
207P00000X
Emergency Medicine Physician
4301090750
MI

Other

Enumeration date
02/14/2008
Last updated
06/04/2019
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