RANA TABASSUM M.D.
Intermediate Care Facility, Mentally Retarded
Detroit, Michigan
Provider NPI: 1154619849
Provider Information:RANA TABASSUM M.D.
Practice Location:
6071 W OUTER DR DETROIT, MI 48235 US
Tel: 313-966-3250 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | WI | 57735-20 |
N | 207R00000X | Physicians Internal Medicine | MI | 4301099130 |