Provider Demographics
NPI:1003840778
Name:MAYS, RUTH EVANS (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:EVANS
Last Name:MAYS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14201 2ND AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-3794
Mailing Address - Country:US
Mailing Address - Phone:313-305-1001
Mailing Address - Fax:313-883-6852
Practice Address - Street 1:14201 2ND AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3794
Practice Address - Country:US
Practice Address - Phone:313-305-1001
Practice Address - Fax:313-883-6852
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2014-12-03
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Provider Licenses
StateLicense IDTaxonomies
MI4301068524207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH18471Medicare UPIN