Individual
DR. MEERA RAGHUNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6231 N CANTON CENTER RD, SUITE 101, CANTON, MI 48187-2694
(734) 455-0800
(734) 455-0818
Mailing address
6231 N CANTON CENTER RD STE 101, CANTON, MI 48187-2693
(734) 455-0800
(734) 455-0818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MR053059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202528412
TAX ID
MI
05
—
4763482
—
MI
Enumeration date
03/29/2006
Last updated
01/13/2020
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