Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANA TABASSUM, M.D.
Active Sole ProprietorICF/Individuals with Intellectual Disabilities · DETROIT, MI
Registration Details
- NPI Number
- 1154619849
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2011 (14.772132966025 yrs)
- Last Updated
- May 21, 2018
- Licenses
-
57735-20 (WI)4301099130 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6071 W OUTER DRDETROIT, MI, 482352624Browse MI providers · Browse ZIP 48235
- Phone
- 3139663250
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
- Additional Specialty
- Internal Medicine
Other ICF/Individuals with Intellectual Disabilities Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| JASON CHRISTOPHER CRUMP | — | 1245194471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.