Provider Demographics
NPI:1346485513
Name:PALYA, ANIRUDDHA VENKATESH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANIRUDDHA
Middle Name:VENKATESH
Last Name:PALYA
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2486 NERREDIA ST STE E
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-4807
Mailing Address - Country:US
Mailing Address - Phone:810-230-9901
Mailing Address - Fax:810-230-9916
Practice Address - Street 1:2486 NERREDIA ST
Practice Address - Street 2:SUITE E
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4807
Practice Address - Country:US
Practice Address - Phone:810-230-9901
Practice Address - Fax:810-230-9916
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301096156207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology