Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 013655 | MI |
N | 1223P0300X | Periodontist | 30260 | CA |
NPI | 1023181427 |
---|---|
Provider Name | Dr. Guity M Rabbani |
First Address | W Bloomfield, MI 48323 |
Second Address | Sterling Heights, MI 48310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 27/07/2015 |