Individual
SRINIVAS KAVUTURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 SOUTH HAGADORN ROAD, SUITE 600, EAST LANSING, MI 48823
(517) 267-2460
(517) 267-2462
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301099714
MI
2086X0206X
Surgical Oncology Physician
Primary
4301099714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932366309
—
MI
Enumeration date
05/21/2008
Last updated
07/20/2018
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