Shyam Prasad Aravindaksha, BDS, MDS Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Warren, MI

NPI

1902065014

Type

Individual (Type 1)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

2901020544 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2008-06-03

Last updated

2022-07-21