Organization
RAJ AND MADHU P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHUMALTI BHAVSAR MD (PRESIDENT)
(313) 963-4979
Entity
Organization
Contact information
Practice address
220 W CONGRESS ST, 2ND FLOOR, DETROIT, MI 48226-3289
(313) 963-4979
Mailing address
220 W CONGRESS ST, 2ND FLOOR, DETROIT, MI 48226-3289
(313) 963-4979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2608276822
BLUE CROSS
MI
05
—
3318749
—
MI
Enumeration date
10/16/2007
Last updated
12/30/2008
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