MOHAN KRISHNA BANGARU

DETROIT, MI
NPI1275932121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: MI  4301119098)
Enumeration Date2014-08-16
Last Update Date2022-07-21
Business Address
MOHAN KRISHNA BANGARU
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-7145
Mailing Address
MOHAN KRISHNA BANGARU
19426 MAYFIELD AVE APT 104
LIVONIA, MI 48152-4203
Phone number: 313-421-6686
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