RITA CORAM
Individual Provider (NPI-1)
Active
Internal Medicine, Cardiovascular Disease
Provider Information
- NPI Number
1730379058- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 22060 BEECH ST STE 200, DEARBORN, MI, 481242853
- Phone
- (313) 228-0505
- Fax
- (313) 228-0506
Specialties & Taxonomies
Internal Medicine, Cardiovascular Disease
License: KY #TP446
Internal Medicine, Interventional Cardiology
License: KY #41345
Internal Medicine, Interventional Cardiology
License: MI #4301116063
Internal Medicine, Cardiovascular Disease
Primary License: MI #4301116063