Antharam, Phanindra
Antharam, Phanindra is an individual health care provider with primary practice located at 22250 Providence Dr Ste 705 , Southfield MI 48075-6215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Antharam, Phanindra can be contacted via phone (248) 552-9858.Contact Information
Primary practice address
22250 Providence Dr Ste 705
Southfield MI 48075-6215
Phone: (248) 552-9858
Fax: (248) 849-9510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301506828 | Michigan |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | RL15150 | North Dakota |
Profile Details
NPI number | 1811483381 |
---|---|
LBN Legal business name | Antharam, Phanindra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2018 |
Last updated | Nov 2nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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