Organization
CHITRANJAN LALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHITRANJAN LALL MD (PRESIDENT)
(313) 745-7445
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 507, DETROIT, MI 48201-2020
(313) 745-7445
Mailing address
4160 JOHN R ST, SUITE 507, DETROIT, MI 48201-2020
(313) 745-7445
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301091382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160000233
MEDICARE RAILROAD
MI
01
—
1608281181
BLUE CARE NETWORK
MI
05
—
2107169
—
MI
Enumeration date
11/13/2007
Last updated
11/14/2007
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