Individual
RAKA MAHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23500 PARK ST, SUITE 3, DEARBORN, MI 48124-2598
(313) 292-3500
(313) 292-3503
Mailing address
23500 PARK ST, SUITE 3, DEARBORN, MI 48124-2598
(313) 292-3500
(313) 292-3503
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
RM043153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003118
CAPE HEALTH
MI
01
—
019394
MIDWEST HEALTH
MI
01
—
110167981
TRAVELERS MEDICARE
MN
01
—
1108224641
BLUE CROSS BLUE SHIELD
MI
05
—
1566855
—
MI
01
—
C3278
MCARE
MI
Enumeration date
02/08/2006
Last updated
03/18/2014
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