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General NPI Number Information
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NPI Number | 1851433940
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Entity Type | Organization
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Legal Business Name | JANAKI V ANNAVARAPU MD PC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 26850 PROVIDENCE PKWY SUITE 450
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City | NOVI
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State | MI
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Zip | 48374-1209
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Country | US
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Telephone | 248-662-4265
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Fax | 248-662-3019
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Provider Business Mailing Address
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Address Line | 26850 PROVIDENCE PKWY SUITE 450
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City | NOVI
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State | MI
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Zip | 48374-1209
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Country | US
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Telephone | 248-662-4265
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Fax | 248-662-3019
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Authorized Official
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Title or Position | OWNER
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Name | JANAKI V ANNAVARAPU
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Credential | MD
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Telephone | 248-676-8107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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