Manjunath Bagewadi Ellur

NPI 1952898363 · on the registry since 2018

Practice

Address: 13111 Woodward Ave
Highland Park, MI 48203
Phone: (313) 865-9900
Organisation at this address: Laxmigi Inc
Sanjay Lakhani Md Pc
Sanjay Lakhani Md Pc
Procare Pharmacy Services Llc
Speciality Medical Services Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-04-20

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