Individual
GOURI RAMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7900 KERCHEVAL ST, DETROIT, MI 48214-2439
(313) 921-5500
(313) 921-5530
Mailing address
7900 KERCHEVAL ST, DETROIT, MI 48214-2439
(313) 921-5500
(313) 921-5530
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301064864
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR064864
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/04/2006
Last updated
01/29/2018
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