Individual
TAJ RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3234
Mailing address
2875 TROY CENTER DR APT 3021, TROY, MI 48084-4722
(909) 701-7972
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151016192
MI
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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