Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 4301099525 | MI |
NPI | 1245493527 |
---|---|
Provider Name | Ms. Rachel Karman Kado |
First Address | Livonia, MI 48152-1412 |
Second Address | Livonia, MI 48152-1412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 08/10/2012 |