Puttagunta, Anuradha L
Puttagunta, Anuradha L is an individual health care provider with primary practice located at 5333 Mcauley Dr Room 5115, Ypsilanti MI 48197-1014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Puttagunta, Anuradha L can be contacted via phone (734) 434-4430.Contact Information
Primary practice address
5333 Mcauley Dr Room 5115
Ypsilanti MI 48197-1014
Phone: (734) 434-4430
Fax: (734) 434-7634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | AP072522 | Michigan |
Profile Details
| NPI number | 1689620296 |
|---|---|
| LBN Legal business name | Puttagunta, Anuradha L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689620296 | NPPES |
| Michigan | Other | 1105601221 | BCBS OF MI PIN |
| Michigan | Other | AP072522 | BCBS OF MI PIN |
| Michigan | MEDICAID | 455879510 | BCBS OF MI PIN |
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