DETROIT MEDICAL CENTER NPI 1699327429

NPI Information

DETROIT MEDICAL CENTER is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DETROIT MEDICAL CENTER NPI is 1699327429. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3901 BEAUBIEN ST
DETROIT, MI
ZIP 48201-119
Phone: (313) 745-5147

The provider's authorized official is Sreedhar Reddy Mitta .
The authorized official title is Resident and has the following contact phone number (865) 771-5715.

The enumeration date for this NPI number is 7/11/2019 and was last updated on 7/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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