NISCHAL KUMAR PATNAIK GANDRETI

DETROIT, MI
NPI1073739132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4301087700)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Dr. NISCHAL KUMAR PATNAIK GANDRETI M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
Mailing Address
Dr. NISCHAL KUMAR PATNAIK GANDRETI M.D.
1350 W BETHUNE ST APT. 2003
DETROIT, MI 48202-2600
Phone number: 734-358-4614