Individual
DR. SARVESWARARAO TALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17356 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-2128
(248) 552-1220
(248) 552-8331
Mailing address
17356 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-2128
(248) 552-1220
(248) 552-8331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ST039318
MI
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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