Provider Demographics
NPI:1659635670
Name:MURALI, NEERAJA TENNOOR (DO, MPH)
Entity Type:Individual
Prefix:
First Name:NEERAJA
Middle Name:TENNOOR
Last Name:MURALI
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:50 N PERRY ST
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-2217
Mailing Address - Country:US
Mailing Address - Phone:248-338-5392
Mailing Address - Fax:248-338-5567
Practice Address - Street 1:50 N PERRY ST
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-2217
Practice Address - Country:US
Practice Address - Phone:248-338-5392
Practice Address - Fax:248-338-5567
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101020035207P00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program