person
Dr. Nischal Kumar Patnaik Gandreti, MD
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1073739132

Nischal Kumar Patnaik Gandreti is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Nischal Kumar Patnaik Gandreti practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Nischal Kumar Patnaik Gandreti is 1073739132 and holds a License No. 4301087700 (Michigan).

The current practice location address for Nischal Kumar Patnaik Gandreti is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-916-2600. You can also correspond with Nischal Kumar Patnaik Gandreti through the mailing address at 1350 W BETHUNE ST, DETROIT, MI - 48202-2600 (mailing address contact number: 734-358-4614).

Location: 2799 W Grand Blvd, Detroit, MI, 48202-2600
person
Provider Profile Details
NPI Number
1073739132
Provider Name
Nischal Kumar Patnaik Gandreti
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Blvd, Detroit, MI, 48202-2600
Phone Number
313-916-2600
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-2600
Fax Number
person
Provider Business Mailing Address Details
Address
1350 W Bethune St
City
State
Zip
48202-2600
Phone Number
734-358-4614
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4301087700 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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