Individual
ETHIRAJ GOVINDA RAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 S LINDEN RD, FLINT, MI 48532-3406
(810) 732-5400
(810) 733-1624
Mailing address
1165 S LINDEN RD, FLINT, MI 48532-3406
(810) 732-5400
(810) 733-1624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301039365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51240
BLUE CROSS BLUE SHIELD MI
MI
01
—
0B51240, ER039365
BLUE CARE NETWORK
MI
01
—
1010892
MCLAREN HEALTH PLAN
MI
01
—
1100482
HEALTH PLUS OF MICHIGAN
MI
05
—
4591753
—
MI
01
—
C1855
MCARE
MI
01
—
ER039365
STATE LICENSE NUMBER
MI
Enumeration date
10/19/2005
Last updated
09/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us