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Individual

DR. DILLI RAMESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
23133 ORCHARD LAKE RD, SUITE 100, FARMINGTON, MI 48336-3268
(248) 477-0100
(248) 477-6153
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1862
(947) 522-0307

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301061211
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0633976
BLUE CARE NETWORK
MI
01
127725
CARE CHOICES
MI
01
3808275562
BLUE CROSS
MI
01
5801708
AETNA
MI
01
C6850
MCARE
MI
01
P105105
BLUE CROSS
MI
Enumeration date
06/12/2006
Last updated
11/17/2020
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