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General NPI Number Information
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NPI Number | 1720422801
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Entity Type | Organization
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Legal Business Name | PHYSICIAN ANESTHESIOLOGISTS OF THE MOTOR CITY, PLLC
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 24875 NOVI RD. #454
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City | NOVI
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State | MI
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Zip | 48376-0454
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Country | US
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Telephone | 248-662-5135
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Fax | 248-566-6978
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Provider Business Mailing Address
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Address Line | 24875 NOVI RD UNIT 454
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City | NOVI
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State | MI
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Zip | 48376-7716
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Country | US
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Telephone | 248-662-5135
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Fax | 248-566-6978
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Authorized Official
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Title or Position | CEO
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Name | DR. AJAY RAMAN
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Credential | DO
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Telephone | 248-662-5135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101018080
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License Number State | MI
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