Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RALPH J TIDALGO, MD
ActiveRALPH J TIDALGO, MD is a Internal Medicine healthcare provider located in SOUTHFIELD, Michigan. NPI 1427168525 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1427168525
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.985353574641 yrs)
- Last Updated
- Jan 1, 2017
- License
-
4301045963 (MI)
Practice Information
- Address
-
26645 W 12 MILE RDSTE 109SOUTHFIELD, MI, 480347811Browse MI providers · Browse ZIP 48034
- Phone
- 2487975293
- Fax
- 2483277394
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. THEODORE A WIZENBERG | M.D. | 1932102423 |
| NAGASHREE CHANDRASHEKAR | MD | 1821092750 |
| DR. HOUSTON JOHNSON JR. | MD | 1245238872 |
| JOHN GLEN FROWNFELTER | MD | 1548268626 |
| DR. VALERIE ABBOTT | MD | 1740289487 |
| DAVID JACOBS | MD | 1437158185 |
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.