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Organization
RAVEEND THABOLINGAM MD PC
Active
Organization
RAVEEND THABOLINGAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVEEND THABOINGAM M.D. (PHYSICIAN)
(248) 552-1200
Entity
Organization
Contact information
Practice address
18161 W 12 MILE RD, SUITE 2, LATHRUP VILLAGE, MI 48076-2662
(248) 552-1200
(248) 552-1201
Mailing address
18161 W 12 MILE RD, SUITE 2, LATHRUP VILLAGE, MI 48076-2662
(248) 552-1200
(248) 552-1201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RT080781
MI
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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