Organization
DR. S.RAO TALLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S.RAO TALLA MD (DOCTOR)
(248) 552-1220
Entity
Organization
Contact information
Practice address
17356 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-2128
(248) 552-1220
(248) 552-8331
Mailing address
17356 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-2128
(248) 552-1220
(248) 552-8331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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