Individual
DR. RAMA V THYAGARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18181 OAKWOOD BLVD STE 101, MEDICAL OFFICE BUILDING, DEARBORN, MI 48124-4082
(313) 436-2426
(313) 436-2440
Mailing address
15500 LUNDY PKWY, DEARBORN, MI 48126-2778
(313) 586-5011
(313) 792-7134
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301059512
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108241691
BLUE CROSS
MI
05
—
4751866
—
MI
Enumeration date
01/23/2006
Last updated
12/15/2014
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