Individual
DR. TEJAS AJAY DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(734) 677-7400
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301086293
MI
2085R0202X
Diagnostic Radiology Physician
AU2866626-U038
OH
Other
Enumeration date
05/25/2007
Last updated
05/11/2011
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