Individual
SANTOSH K RASTOGI
Active
Individual
SANTOSH K RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301049068
MI
2084P0805X
Geriatric Psychiatry Physician
4301049068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093711459
NPI - CCC
MI
05
—
3015553
—
MI
01
—
MI5414
MEDICARE PTAN GROUP
MI
01
—
MI5414001
MEDICARE PTAN INDIVIDUAL
MI
Enumeration date
08/24/2006
Last updated
06/08/2012
Update your record
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