Provider Demographics
NPI:1801026661
Name:ELTERIEFI, RUAA (MD)
Entity Type:Individual
Prefix:DR
First Name:RUAA
Middle Name:
Last Name:ELTERIEFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26901 BEAUMONT BLVD STE 3D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1863
Mailing Address - Fax:947-522-0307
Practice Address - Street 1:4700 SCHAEFER RD STE 240
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3743
Practice Address - Country:US
Practice Address - Phone:313-827-0480
Practice Address - Fax:313-827-0472
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301095123207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine