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Ms. Himaja Gaddipati, DO
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1215594791

Himaja Gaddipati is a Student in an Organized Health Care Education/Training Program based in Madison Heights, MI. Himaja Gaddipati practices in Warren, MI and has the professional credentials of DO. The NPI Number for Himaja Gaddipati is 1215594791 and holds a License No. 5151013966 (Michigan).

The current practice location address for Himaja Gaddipati is 11800 E 12 Mile Rd, Warren, MI and can be reached out via phone at 719-351-9547.

Location: 11800 E 12 Mile Rd, Warren, MI, 48071-3474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215594791
Provider Name
Himaja Gaddipati
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11800 E 12 Mile Rd, Warren, MI, 48071-3474
Phone Number
719-351-9547
Fax Number
Provider Enumeration Date
05/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48071 05 MI
institution
Provider Business Practice Location Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
719-351-9547
Fax Number
person
Provider Business Mailing Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
719-351-9547
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
(Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151013966 (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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