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1245256809
PRABHAKARA BASAVARAJU
ANN ARBOR, MI
NPI
1245256809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301087319)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
-- PRABHAKARA BASAVARAJU MD
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48109-0048
Phone number: 734-936-4280
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Mailing Address
-- PRABHAKARA BASAVARAJU MD
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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