SUDHA PENUMALA
Individual Provider (NPI-1)
Active
Internal Medicine, Endocrinology, Diabetes & Metabolism
Provider Information
- NPI Number
1437635984- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 300 LAFAYETTE AVE SE STE 2045, GRAND RAPIDS, MI, 495034692
- Phone
- (616) 685-3098
- Fax
- (616) 685-3095
Specialties & Taxonomies
Internal Medicine, Endocrinology, Diabetes & Metabolism
License: KY #55256
Internal Medicine, Endocrinology, Diabetes & Metabolism
Primary License: MI #4301510258