Individual
MS. ALLAA ROTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6071 OUTER DRIVE, DETROIT, MI 48235
(313) 745-6047
Mailing address
6071 OUTER DRIVE W, DETROIT, MI 48235
(313) 745-6047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301516011
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351051523
MICHIGAN PHYSICIAN EDUCATIONAL LIMITED LICENSE
MI
Enumeration date
05/11/2023
Last updated
05/12/2026
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