Individual
NARAYANAN VIKRAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18325 E 10 MILE RD, SUITE 400, ROSEVILLE, MI 48066-4990
(586) 775-4594
(586) 775-4506
Mailing address
18325 E 10 MILE RD, SUITE 400, ROSEVILLE, MI 48066-4990
(586) 775-4594
(586) 775-4506
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301043880
MI
207RI0011X
Interventional Cardiology Physician
4301043880
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060 500 7401
BLUE CROSS BLUE SHEILD
MI
05
—
2754288-10
—
MI
Enumeration date
08/12/2005
Last updated
03/07/2023
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