Individual
DR. DIKSHA RATNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2997
(978) 683-4000
Mailing address
4201 SAINT ANTOINE ST STE 9C, DETROIT, MI 48201-2153
(313) 993-2530
(313) 993-7703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1013277
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2020
Last updated
07/11/2023
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