Dr. Srilatha Mallu
Anesthesiologist
2799 W Grand Blvd Henry Ford Hospital
Detroit
, Michigan 48202-2608
Dr. Srilatha Mallu
Anesthesiologist
2799 W Grand Blvd Henry Ford Hospital
Detroit
, Michigan 48202-2608
(248) 438-1038
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Srilatha Mallu
- 28849 Hearthstone Dr
- Novi, MI
- Zip : 48377-2722
- Phone : (248) 438-1038
Second Address
- Dr. Srilatha Mallu
- 2799 W Grand Blvd Henry Ford Hospital
- Detroit, MI
- Zip : 48202-2608
- Phone : (313) 916-4872
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 35-096328 | OH |
| N | 207L00000X | Anesthesiologist | 4301079527 | MI |
National Provider Identifier
| NPI | 1013126358 |
|---|---|
| Provider Name | Dr. Srilatha Mallu |
| First Address | Novi, MI 48377-2722 |
| Second Address | Detroit, MI 48202-2608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 14/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.