REDDIVALEM VENKATA NAGESH

JACKSON, MI
NPI1730122367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: MI  4301042337)
Enumeration Date2006-06-13
Last Update Date2007-11-23
Business Address
-- REDDIVALEM VENKATA NAGESH MD
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-788-4800
Mailing Address
-- REDDIVALEM VENKATA NAGESH MD
PO BOX 67000 DEPARTMENT 272801
DETROIT, MI 48267-0002
Phone number: 517-841-6913
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