Healthcare Provider Details
I. General information
NPI: 1922066828
Provider Name (Legal Business Name): TULIKA NARAIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/02/2006
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60005 CAMPGROUND RD STE 100
WASHINGTON TOWNSHIP MI
48094-3446
US
IV. Provider business mailing address
2310 KINGSCROSS DR
SHELBY TOWNSHIP MI
48316-1208
US
V. Phone/Fax
- Phone: 586-232-5355
- Fax: 586-745-9271
- Phone: 631-241-4444
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 4301511597 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 213792 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: