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Kesava Manikanta Achuta, M.D.

Student in an Organized Health Care Education/Training Program in Garden City, MI. Individual provider (NPI-1).

NPI number1447091376
StatusActive
Last updated in NPPESSep 6, 2024

Details

NPI
1447091376
Entity type
Individual (NPI-1)
Name
Mr. Kesava Manikanta Achuta
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2024
Last updated
Sep 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

6245 Inkster Rd
Garden City, MI 48135

Phone 734-458-4319

Mailing address

6245 Inkster Rd
Garden City, MI 48135

Phone 734-458-4319

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