Provider Demographics
NPI:1316565591
Name:TANDON, RUCHI
Entity type:Individual
Prefix:
First Name:RUCHI
Middle Name:
Last Name:TANDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4596 WABEEK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1781
Mailing Address - Country:US
Mailing Address - Phone:248-568-4050
Mailing Address - Fax:
Practice Address - Street 1:4596 WABEEK FOREST DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1781
Practice Address - Country:US
Practice Address - Phone:248-568-4050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care