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Individual

RANA MANSOUR BILBEISI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 558-4700
(586) 558-4706
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 558-4700
(586) 558-4706

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101017265
MI
207RH0003X
Hematology & Oncology Physician
Primary
5101017265
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H208910
BLUE CROSS
MI
Enumeration date
08/06/2007
Last updated
12/02/2013
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