Individual
RAJAN A PASTORIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E MICHIGAN AVE, STE 205, JACKSON, MI 49201
(517) 787-6838
(577) 787-5623
Mailing address
1100 E MICHIGAN AVE, STE 205, JACKSON, MI 49201
(577) 787-6838
(577) 787-5623
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
430107184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0720038
PHP
—
01
—
1603802652
BCBS
—
05
—
4465589
—
MI
Enumeration date
10/12/2005
Last updated
04/20/2011
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