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NPI Code Detail

MEDICARE: DR. RUAA ELTERIEFI MD

MEDICARE:  DR. RUAA  ELTERIEFI  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
1207R00000XInternal Medicine Physician4301095123MI

General Provider Information

NPI Number : 1801026661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUAA ELTERIEFI MD
Provider Business Mailing Address
First Line : 1934 MONROE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2917
Country : US
Telephone Number : 313-565-7464
Fax Number : 313-565-3620
Provider Business Practice Location Address
First Line : 1934 MONROE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2917
Country : US
Telephone Number : 313-565-7464
Fax Number : 313-565-3620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2009
Last Update Date : 11/06/2024

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Directions to “ DR. RUAA ELTERIEFI MD” Practice Location

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