Provider Demographics
NPI:1588359814
Name:LAKSHMISH KUMAR, BRUNDA RAMACHANDRA MURTHY (MD)
Entity type:Individual
Prefix:
First Name:BRUNDA
Middle Name:RAMACHANDRA MURTHY
Last Name:LAKSHMISH KUMAR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3439 WOODWARD AVE APT 235
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2793
Mailing Address - Country:US
Mailing Address - Phone:734-578-7020
Mailing Address - Fax:
Practice Address - Street 1:2333 BIDDLE AVE
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-4668
Practice Address - Country:US
Practice Address - Phone:313-916-1601
Practice Address - Fax:734-246-8795
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-07-18
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Provider Licenses
StateLicense IDTaxonomies
MI4351051419207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine