Provider Demographics
NPI:1134382062
Name:ZACHARIAS, RITU NAYAK (MD)
Entity type:Individual
Prefix:DR
First Name:RITU
Middle Name:NAYAK
Last Name:ZACHARIAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6777 W MAPLE RD FL 3
Mailing Address - Street 2:HENRY FORD WEST BLOOMFIELD HOSPITAL
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3013
Mailing Address - Country:US
Mailing Address - Phone:248-325-1550
Mailing Address - Fax:
Practice Address - Street 1:6777 W MAPLE RD FL 3
Practice Address - Street 2:HENRY FORD WEST BLOOMFIELD HOSPITAL
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3013
Practice Address - Country:US
Practice Address - Phone:248-325-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301092767208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation