Individual
SUJANA GUNDLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27901 WOODWARD AVE, SUITE 300, BERKLEY, MI 48072-0919
(248) 545-0070
(248) 545-4850
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301095876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932242070
—
MI
Enumeration date
02/15/2007
Last updated
04/19/2023
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