Search › Michigan › 207RE0101X
Shobana Athimulam, MBBS
NPI 1467865568 · on the registry since 2014
Practice
- Address
- 3031 W Grand Bvld,
Suite 800
Detroit, MI 48202 - Phone
- (313) 916-9100
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207R00000X
207RE0101X - Licence states on file
- MI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan