Individual
RAHUL REVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(888) 362-2500
Mailing address
11127 ASHBURY MEADOWS DR, CENTERVILLE, OH 45458-6403
(937) 689-8456
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036170852
IL
Other
Enumeration date
04/21/2021
Last updated
08/05/2024
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