Individual
DR. DHEERAJ THAMMINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
(586) 731-8406
Mailing address
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
(586) 731-8406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090476
MI
208M00000X
Hospitalist Physician
Primary
4301090476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502488
BCBS
MI
05
—
1710115969
—
MI
Enumeration date
06/26/2009
Last updated
09/29/2015
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