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Organization
TUSHAR N RAIJI MD PC
Active
Organization
TUSHAR N RAIJI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUSHAR N RAIJI MD (OWNER)
(810) 720-5715
Entity
Organization
Contact information
Practice address
6203 COVERED WAGONS TRL, FLINT, MI 48532-2170
(810) 720-5715
(810) 732-0891
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(810) 720-5715
(810) 732-0891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301035669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102514291
BCBSM/BLUE CARE NETWORK
MI
Enumeration date
10/14/2008
Last updated
01/15/2009
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