MEDICARE: SOMESWARA N NAVULURI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	4301041448	MI

General Provider Information

NPI Number	:	1669419156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOMESWARA N NAVULURI MD

Provider Business Mailing Address
First Line	:	3721 DURHAM CT
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1224
Country	:	US
Telephone Number	:	313-506-7885
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 CONNER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48213-3448
Country	:	US
Telephone Number	:	313-506-7885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	09/13/2022

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Directions to “ SOMESWARA N NAVULURI MD” Practice Location

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