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1073739132
NISCHAL KUMAR PATNAIK GANDRETI
DETROIT, MI
NPI
1073739132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4301087700)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Dr. NISCHAL KUMAR PATNAIK GANDRETI M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
Dr. NISCHAL KUMAR PATNAIK GANDRETI M.D.
1350 W BETHUNE ST APT. 2003
DETROIT, MI 48202-2600
Phone number: 734-358-4614
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