Kidney Center of Michigan

NPI #1083983498 in Pontiac, Michigan

Provider Information

NPI Number
1083983498
Entity Type
Organization
Organization Name
Kidney Center of Michigan
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Dec 14, 2011
Last Updated
Feb 24, 2012

Practice Location

Address
44555 WOODWARD AVE
Address 2
SUITE 404
ZIP Code
48341-5031
Phone
(248) 858-3011

Authorized Official

Name
AMITH KAKULAVARAM, M.D.
Title
PRESIDENT
Phone
(248) 858-3011

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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