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1164603817
PADMA SURAPANENI
WAYNE, MI
NPI
1164603817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MI 4301064385)
Enumeration Date
2007-11-23
Last Update Date
2008-09-29
Business Address
DR. PADMA SURAPANENI M.D.
33101 ANNAPOLIS ST
WAYNE, MI 48184-2405
Phone number: 734-721-0200
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Mailing Address
DR. PADMA SURAPANENI M.D.
33101 ANNAPOLIS ST
WAYNE, MI 48184-2405
Phone number: 734-721-0200
Copy
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