Individual
DR. KUMARA RAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23829 LITTLE MACK, SUITE 200, ST CLAIR SHORES, MI 48080-1113
(586) 772-4444
(586) 772-4411
Mailing address
23829 LITTLE MACK, SUITE 200, ST CLAIR SHORES, MI 48080-1113
(586) 772-4444
(586) 772-4411
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301040250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020H21281
BCBS
—
05
—
1846939
—
MI
Enumeration date
09/28/2005
Last updated
11/12/2009
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