Individual
DR. KRISHNA G PUTCHAKAYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD STE 644, ROYAL OAK, MI 48073-6770
(248) 551-1033
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301106311
MI
Other
Enumeration date
06/21/2011
Last updated
02/29/2024
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