Individual
KHUSHDEEP RAYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23234 ECORSE RD, TAYLOR, MI 48180-1769
(313) 768-5393
Mailing address
23234 ECORSE RD, TAYLOR, MI 48180-1769
(313) 768-5393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704229578
MI
Other
Enumeration date
06/26/2015
Last updated
05/25/2016
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