Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rana Tabassum, MD

Individual provider Intellectual Disabilities Intermediate Care Facility · NPI 1154619849

Rana Tabassum, MD is an Internal Medicine in Detroit, Michigan. Qualified in 1989, 37 years ago. Practices with State of Wisconsin, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
37
Licensed in
MI, WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-3250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 57735-20 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301099130 (MI)

Record details

NPI number1154619849
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 14, 2011
Last updated in NPPESMay 21, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice State Of Wisconsin — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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