NPIMap

Organization Active NPI

Raveend Thabolingam MD PC

  • Internal Medicine Physician
  • Lathrup Village, MI
National Provider Identifier
1003040288
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RT080781 Issued in MI
Legal business name
RAVEEND THABOLINGAM MD PC
Practice address
18161 W 12 Mile Rd
Suite 2
Lathrup Village, MI 48076-2662
Phone
(248) 552-1200
Fax
(248) 552-1201
NPI assigned
May 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raveend Thaboingam, M.D.
Title
Physician
Phone
(248) 552-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X RT080781 MI Primary

Addresses

Primary practice location

18161 W 12 Mile Rd
Suite 2
Lathrup Village, MI 48076-2662

Mailing address

18161 W 12 Mile Rd
Suite 2
Lathrup Village, MI 48076-2662
Phone (248) 552-1200

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1003040288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD",
            "address_2": "SUITE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD",
            "address_2": "SUITE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEEND THABOLINGAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "THABOINGAM",
        "authorized_official_first_name": "RAVEEND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-552-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RT080781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.