| NPI Details | |
|---|---|
| NPI | 1134237050 |
| Gender | Male |
| Enumeration Date | 08/29/2006 |
| Last Updated | 12/28/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 22301 FOSTER WINTER DR SECOND FLOOR SOUTHFIELD MI, 48075-3707, US |
|
| Phone | (248) 552-0620 |
| Fax | (248) 552-0286 |
| Business Location | |
|---|---|
| 22301 FOSTER WINTER DR SECOND FLOOR SOUTHFIELD MI, 48075-3707, US |
|
| Phone | (248) 552-0620 |
| Fax | (248) 552-0286 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207R00000X |
| License State | Michigan |
| License Number | 4301067586 |
| Remove 1134237050 NPI Number | |
According to our database, Rajendra Kumar Manam MD NPI is 1134237050, taxonomy code is 207R00000X and license number is 4301067586, license state is located at Michigan. Rajendra Kumar Manam MD physically located at 22301 Foster Winter Dr, Southfield MI, 48075-3707. NPI Number Rajendra Kumar Manam MD has the Individual type.
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1134237050 NPI number is provided on an as is basis without warranty of any kind. 1134237050 is maintained by the National Plan & Provider Enumeration System. The contents of Rajendra Kumar Manam MD are for informational purposes only.
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