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Srilatha Mittapelli

NPI 1376190488 · on the registry since 2019 · sole proprietor

Practice

Address
4605 Eagle Dr
Jackson, MI 49201
Phone
(517) 416-8704

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-24

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