Individual
ISHANI DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 282-1440
Mailing address
43680 LAURELWOOD DR, CANTON, MI 48187-4916
(734) 708-0576
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
4301088629
MI
Other
Enumeration date
05/14/2007
Last updated
10/04/2012
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