| NPI | 1083983498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMITH KAKULAVARAM President 248-858-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301084121) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2012-02-24 |