Individual
RAJAPRABHAKARAN RAJARETHINAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 PLYMOUTH RD, SUITE 107, ANN ARBOR, MI 48105-3205
(734) 846-2898
Mailing address
3001 PLYMOUTH RD, SUITE 107, ANN ARBOR, MI 48105-3205
(734) 846-2898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6301013432
MI
2084P0800X
Psychiatry Physician
250229
MA
2084P0800X
Psychiatry Physician
Primary
4301064033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P30630251
MEDICARE NUMBER
MI
05
—
4902521
—
MI
Enumeration date
06/01/2006
Last updated
02/13/2015
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