IndividualActive
Rana Tabassum, M.D.
NPI 1154619849 · Intellectual Disabilities Intermediate Care Facility · Detroit, MI
Provider details
- NPI number
- 1154619849
- Entity type
- Individual
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 57735-20 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Allopathic & Osteopathic Physicians
Practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-3250
Approximate (ZIP-level) locationGet directions
Mailing address
1125 Meadow Creek Ct
Vernon Hills, IL 60061-2562
Registry dates
- Enumerated
- 2011-07-14
- Last updated
- 2018-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.