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NPI Code Detail

MEDICARE: DR. RENU MANTHAN PANDIT M.D.

MEDICARE:  DR. RENU MANTHAN PANDIT  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician4301077724MI

General Provider Information

NPI Number : 1558324129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RENU MANTHAN PANDIT M.D.
Provider Business Mailing Address
First Line : 10946 FELLOWS HILL DR
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-6350
Country : US
Telephone Number : 734-459-5089
Fax Number : 734-459-2564
Provider Business Practice Location Address
First Line : 4900 MERCURY DR
Second Line : SUITE 100
City : DEARBORN
State : MI
Zip : 48126-2947
Country : US
Telephone Number : 313-271-5577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RENU MANTHAN PANDIT M.D.” Practice Location

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