Doctor Name: | MRS. RUCKMANI ACHARI |
NPI Number: | 1336345412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 049095 |
Business Practice Address: | 33116 Palmer Road Dr Bala Setty Suite D Westland, MI - 48186 |
Business Phone Number: | 7347294343 |
Business Fax Number: | 7347290222 |
Mailing Address: | 44821 Danbury Road, CANTON |
State: | MI |
Postal Code: | 481881053 |
Phone Number: | 7349817826 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 049095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |