Individual
SHANTI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BS
Contact information
Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301068923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4204359
—
MI
Enumeration date
07/31/2006
Last updated
10/25/2024
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