Individual
MR. BRAHMAIAH P RAJESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 E ELM ST, STEB, SAINT JOHNS, MI 48879-2347
(989) 224-2100
(989) 224-0784
Mailing address
306 E ELM ST, STE B, SAINT JOHNS, MI 48879-2347
(989) 224-2100
(989) 224-0784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BR060307
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101914301
BCBS
MI
05
—
4575965
—
MI
Enumeration date
08/29/2006
Last updated
09/30/2013
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