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Krishna Balabhadrapatruni, MD

Internal Medicine in Detroit, MI. Individual provider (NPI-1).

NPI number1154559664
StatusActive
Last updated in NPPESJun 24, 2009

Details

NPI
1154559664
Entity type
Individual (NPI-1)
Name
Krishna Balabhadrapatruni
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 24, 2009
Last updated
Jun 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301094681MIYes
208000000X Pediatrics4301094681MI

Practice location

4201 St Antoine
Uhc 5c
Detroit, MI 48201

Phone 313-577-4342 · Fax 313-745-4707

Mailing address

4201 St Antoine
Uhc 5c
Detroit, MI 48201

Phone 313-577-4342 · Fax 313-745-4707

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