Dr. SAMBA SIVA REDDY BATHULA -- M.D
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1013223239- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D
- Status
- Active
Contact & Location
- Address
- 4160 JOHN R ST STE 1007 DMC ENT-HARPER PROFESSIONAL BUILDING, DETROIT, MI, 482012017
- Phone
- (313) 966-9471
- Fax
- (313) 966-9470
Specialties & Taxonomies
Otolaryngology, Pediatric Otolaryngology
License: MI #4301096231
Otolaryngology
Primary License: MI #4301096231
All Addresses
MAILING
4160 JOHN R ST STE 1007 DMC ENT-HARPER PROFESSIONAL BUILDING
DETROIT, MI, 482012017
LOCATION
4160 JOHN R ST STE 1007 DMC ENT-HARPER PROFESSIONAL BUILDING
DETROIT, MI, 482012017