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Individual

PAVAN SAKHAMURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5000
Mailing address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5315267615
MI
208D00000X
General Practice Physician
Primary
5315267615
MI

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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