Individual
JAMBUNATHAN RAMANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 JOHN R, JOHN.D.DINGELL VA, DETROIT, MI 48201
(313) 576-1000
(313) 576-1000
Mailing address
1183 BRADBURY DR, TROY, MI 48098-6314
(248) 267-6558
(248) 267-6558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301063102
MI
207RI0200X
Infectious Disease Physician
4301063102
MI
208M00000X
Hospitalist Physician
Primary
4301063102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4726068
—
MI
Enumeration date
07/28/2006
Last updated
08/26/2016
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