IndividualActive
Amitha Parvataneni, MD
NPI 1336326362 · Family Medicine Physician · Saint Clair Shores, MI
Provider details
- NPI number
- 1336326362
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301089533 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone: (586) 772-7180
Fax: (586) 279-0033
Approximate (ZIP-level) locationGet directions
Mailing address
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Registry dates
- Enumerated
- 2008-01-22
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.