Individual
DR. S BHIMSEN RAO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15125 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4406
(586) 532-0599
(586) 566-8967
Mailing address
15125 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4406
(586) 532-0599
(586) 566-8967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301032823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096468
—
MI
Enumeration date
11/14/2005
Last updated
07/08/2007
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