Organization
KATHIRAVELU THABOLINGAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIRAVELU THABOLINGAM MD (PRESIDENT)
(313) 967-4799
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
PO BOX 8001, BLOOMFIELD HILLS, MI 48302-8001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
11/18/2010
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