SearchMichigan183500000X

Madhavi Gangadasu

NPI 1174741128 · on the registry since 2007

Practice

Address
35584 Grandriver Ave
Farmingtonhills, MI 48335
Phone
(248) 474-1717
Fax
(248) 474-2590

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan