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Dr. RAVINDER BOORGULA M.D

Individual Provider (NPI-1) Active

Internal Medicine

Provider Information

NPI Number
1326354465
Provider Type
Individual Provider (NPI-1)
Credentials
M.D
Status
Active

Contact & Location

Address
2799 W GRAND BLVD, DETROIT, MI, 482022689
Phone
(800) 653-6568

Specialties & Taxonomies

Hospitalist License: CT #61524
Internal Medicine License: CT #61524
Internal Medicine License: PA #MD448993
Internal Medicine License: LA #320013
Hospitalist License: PA #MD448993
Internal Medicine Primary License: MI #4301502340

All Addresses

LOCATION

2799 W GRAND BLVD

DETROIT, MI, 482022689

(800) 653-6568

MAILING

67 MAPLE AVE FL 2

DERBY, CT, 064181328

(203) 732-1330