RACHA W BOULOS

DETROIT, MI
NPI1689135196
Former NameRACHA W TADROS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  4301512283)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-27
Last Update Date2024-08-07
Business Address
RACHA W BOULOS MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 800-653-6568
Mailing Address
RACHA W BOULOS MD
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number: 006-536-5688