RANA TABASSUM M.D. NPI 1154619849

NPI Information

  • NPI: 1154619849
  • Provider Name: RANA TABASSUM, M.D.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6071 W OUTER DR
    DETROIT, MI
    ZIP 48235
  • Phone: (313) 966-3250

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NPI Details

Rana Tabassum, M.D. is an intermediate care facility mentally retarded in Detroit, MI. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. Rana Tabassum, M.D. NPI is 1154619849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6071 W OUTER DR
DETROIT, MI
ZIP 48235-624
Phone: (313) 966-3250

The NPI 1154619849 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2011 and was last updated on 5/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301099130MICHIGANNo
2315P00000XIntermediate Care Facility, Intellectual Disabilities57735-20WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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