Provider Demographics
NPI:1437353729
Name:DELBUSTO, RAMON (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:DELBUSTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5460 LANE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-2933
Mailing Address - Country:US
Mailing Address - Phone:313-916-2573
Mailing Address - Fax:313-916-2993
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:CFP-302
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-2573
Practice Address - Fax:313-916-2993
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2021-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301033523207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine