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Individual
RANA TABASSUM
Active
Individual
RANA TABASSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099130
MI
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
57735-20
WI
Other
Enumeration date
07/14/2011
Last updated
05/21/2018
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