Individual
GOUTHAM TALARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301108838
MI
208M00000X
Hospitalist Physician
Primary
4301108838
MI
Other
Enumeration date
07/16/2009
Last updated
09/28/2018
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