Individual
DR. BIBBAN BANT KAUR DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 ST. ANTOINE, SUITE 5B, DETROIT, MI 48201-2153
(313) 745-1741
(313) 745-8165
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078546
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301078546
MI
Other
Enumeration date
05/08/2006
Last updated
04/27/2023
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