Individual provider · Type 1 NPI

Rana Tabassum, MD

Intellectual Disabilities Intermediate Care Facility · Detroit, MI

NPI number 1154619849 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Call (313) 966-3250 Map

Mailing address

1125 Meadow Creek Ct
Vernon Hills, IL 60061-2562

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X57735-20 (WI)
Internal Medicine Physician 207R00000X4301099130 (MI)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1154619849

Rana Tabassum, MD's National Provider Identifier is 1154619849, issued on Jul 14, 2011. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Detroit, MI. The record was last updated on May 21, 2018.