Individual
DR. SHOBANA ATHIMULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3031 W GRAND BVLD,, SUITE 800, DETROIT, MI 48202
(313) 916-9100
Mailing address
3031 W GRAND BVLD,, SUITE 800, DETROIT, MI 48202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105684
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301501969
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
61739
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467865568
NPI
MI
Enumeration date
06/05/2014
Last updated
06/29/2020
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