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Search › Michigan › 207R00000X

Jaya Raghu Teja Gadivemula, MD

NPI 1639551039 · on the registry since 2015

Practice

Address
4201 St. Antoine
Ste 2e
Detroit, MI 48201
Phone
(313) 745-4525
Organisation at this address
Detroit Medical Centre
Detroit Medical Center
Detroit Medical Center
University Internal Medicine Specialists
University Internal Medicine Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-30

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