Rahul Shivshankar Burde M.D.

NPI 1063724219 - Pediatrics - 208000000X

NPI Details
NPI 1063724219
Gender Male
Enumeration Date 07/04/2010
Last Updated 07/04/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3901 BEAUBIEN ST
DETROIT MI, 48201-2119, US
Phone (313) 745-5437
Fax
Business Location
30735 HIDDEN PINES LN
ROSEVILLE MI, 48066-7305, US
Phone (586) 718-3286
Fax
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301096927
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According to our database, Dr. Rahul Shivshankar Burde M.D. NPI is 1063724219, taxonomy code is 208000000X and license number is 4301096927, license state is located at Michigan. Rahul Shivshankar Burde M.D. physically located at 3901 Beaubien St, Detroit MI, 48201-2119. NPI Number Rahul Shivshankar Burde M.D. has the Individual type.

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1063724219 NPI number is provided on an as is basis without warranty of any kind. 1063724219 is maintained by the National Plan & Provider Enumeration System. The contents of Rahul Shivshankar Burde M.D. are for informational purposes only.