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1275932121
MOHAN KRISHNA BANGARU
DETROIT, MI
NPI
1275932121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MI 4301119098)
Enumeration Date
2014-08-16
Last Update Date
2022-07-21
Business Address
MOHAN KRISHNA BANGARU
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-7145
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Mailing Address
MOHAN KRISHNA BANGARU
19426 MAYFIELD AVE APT 104
LIVONIA, MI 48152-4203
Phone number: 313-421-6686
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