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Dr. Rani Thangam Potti

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NPI Number Detailed Information

Provider Information:

Name: Dr. Rani Thangam Potti
Gender: F
Provider License Number If Given: 4301058831

NPI Information:

NPI: 1811996333
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 18249 CASCADE DR
Northville, MI 48167
Phone Number: 2485969580
Fax Number: 3132788729

Provider Business Practice Location Address:

Address: 4215 S BEECH DALY ST
Dearborn Heights, MI 48125
Phone Number: 3132787750
Fax Number: 3132788729

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: MI

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