PRANAV KUMAR PANCHATSHARAM

MADISON HEIGHTS, MI
NPI1851957526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-17
Last Update Date2019-05-17
Business Address
DR. PRANAV KUMAR PANCHATSHARAM DO
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071-3487
Phone number: 248-967-7129
Mailing Address
DR. PRANAV KUMAR PANCHATSHARAM DO
635 CHERRY STONE DR
CANTON, MI 48188-5297
Phone number: 860-770-7313