Provider Demographics
NPI:1659318251
Name:ADHIKARI, AMITA (MD MPH)
Entity Type:Individual
Prefix:
First Name:AMITA
Middle Name:
Last Name:ADHIKARI
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Gender:F
Credentials:MD MPH
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Mailing Address - Street 1:4201 ST. ANTOINE
Mailing Address - Street 2:UNIVERSITY PEDIATRCIANS UHC 5D MAILBOX# 226
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-966-5051
Mailing Address - Fax:313-966-0665
Practice Address - Street 1:3950 BEAUBIEN 3RD FLOOR
Practice Address - Street 2:CHM SPECILTY CTR
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-832-9220
Practice Address - Fax:313-993-8977
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2015-11-20
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Provider Licenses
StateLicense IDTaxonomies
MI43010757162080P0205X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology