Provider Demographics
NPI:1720515380
Name:GOVIL-DALELA, TUHINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TUHINA
Middle Name:
Last Name:GOVIL-DALELA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TUHINA
Other - Middle Name:
Other - Last Name:GOVIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3901 BEAUBIEN ST.
Mailing Address - Street 2:CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT MEDICAL CENTER
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-745-5533
Mailing Address - Fax:313-993-7118
Practice Address - Street 1:3901 BEAUBIEN ST.
Practice Address - Street 2:CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT MEDICAL CENTER
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-5533
Practice Address - Fax:313-993-7118
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program