Individual
MRS. RUMANA ANIS BARODAWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301068018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3503700851
BCBSM
MI
01
—
421560109
TAX IDENTIFICATION NUMBER
MI
05
—
4458314
—
MI
Enumeration date
04/06/2007
Last updated
03/20/2012
Update your record
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