Individual
RAJENDRA KUMAR MANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22301 FOSTER WINTER DR, SECOND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 552-0286
Mailing address
22301 FOSTER WINTER DR, SECOND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 552-0286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301067586
MI
207RX0202X
Medical Oncology Physician
Primary
4301067586
MI
Other
Enumeration date
08/29/2006
Last updated
12/28/2007
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