NPI 1154619849

Rana Tabassum, MD

Practitioner Intellectual Disabilities Intermediate Care Facility Detroit, MI

Practice location

Address: 6071 W Outer Dr, Detroit, MI 48235-2624
Phone: (313) 966-3250
Mailing address: 1125 Meadow Creek CT, Vernon Hills, IL 60061-2562

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 57735-20 (WI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Michigan →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 4301099130 (MI)

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1154619849
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2011
Record last updated: 21 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.