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1245243344
RAGHURAM MATTA
DETROIT, MI
NPI
1245243344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301061964)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
Dr. RAGHURAM MATTA MD
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-3724
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Mailing Address
Dr. RAGHURAM MATTA MD
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-3724
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