Individual
DR. CHITRANJAN LALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4160 JOHN R ST, SUITE 507, DETROIT, MI 48201-2020
(313) 745-7445
(313) 993-0872
Mailing address
4160 JOHN R ST, SUITE 507, DETROIT, MI 48201-2020
(313) 745-7445
(313) 993-0872
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4301031382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1608281181
BCBS OF MICHIGAN
MI
05
—
2107169
—
MI
Enumeration date
07/26/2006
Last updated
11/01/2007
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