Provider Demographics
NPI:1255594156
Name:PAI, BHANU RAM (MD)
Entity type:Individual
Prefix:
First Name:BHANU
Middle Name:RAM
Last Name:PAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:26901 BEAUMONT BOULEVARD
Mailing Address - Street 2:STE. 3D
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1867
Mailing Address - Fax:947-522-0307
Practice Address - Street 1:29355 NORTHWESTERN HWY STE 210
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1045
Practice Address - Country:US
Practice Address - Phone:248-356-7726
Practice Address - Fax:248-356-7749
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2020-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301091740207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine