Provider Demographics
NPI:1871811620
Name:TALATI, RONAK SUDHIR (MD)
Entity type:Individual
Prefix:DR
First Name:RONAK
Middle Name:SUDHIR
Last Name:TALATI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:901 MCCLINTOCK DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0871
Mailing Address - Country:US
Mailing Address - Phone:888-220-6432
Mailing Address - Fax:630-734-4715
Practice Address - Street 1:1854 W AUBURN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3868
Practice Address - Country:US
Practice Address - Phone:248-853-2323
Practice Address - Fax:248-853-8890
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2014-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101031207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1871811620Medicaid