MEDICARE: RANA DABAJA PHARMD

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
1	1835P2201X	Ambulatory Care Pharmacist	5302042758	MI

General Provider Information

NPI Number	:	1407545593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANA DABAJA PHARMD

Provider Business Mailing Address
First Line	:	24906 WINONA ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-1590
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24906 WINONA ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-1590
Country	:	US
Telephone Number	:	313-516-8767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/04/2023

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Directions to “ RANA DABAJA PHARMD” Practice Location

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