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NPI Code Detail

MEDICARE: ANIBAL DRELICHMAN MD

MEDICARE: ANIBAL DRELICHMAN MD
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
1207RX0202XMedical Oncology PhysicianAD036112MI

General Provider Information

NPI Number : 1740222447
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANIBAL DRELICHMAN MD
Provider Business Mailing Address
First Line : 22301 FOSTER WINTER DR
Second Line : 2ND FLOOR
City : SOUTHFIELD
State : MI
Zip : 48075-3707
Country : US
Telephone Number : 248-552-0620
Fax Number : 248-552-0286
Provider Business Practice Location Address
First Line : 22301 FOSTER WINTER DR
Second Line : 2ND FLOOR
City : SOUTHFIELD
State : MI
Zip : 48075-3707
Country : US
Telephone Number : 248-552-0620
Fax Number : 248-552-0286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 02/18/2011

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