Individual
PRIYANKA BHAGAT-RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-2026
Mailing address
4500 CASS AVE APT 611, DETROIT, MI 48201-1282
(773) 414-0121
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301082496
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2021
Last updated
12/02/2023
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