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Individual

DR. BATHINAIAH RAJU VORAKKARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4466 W BRISTOL RD FL 2, FLINT, MI 48507-3170
(810) 250-4866
(810) 250-4867
Mailing address
4466 W BRISTOL RD FL 2, FLINT, MI 48507-3170
(810) 250-4866
(810) 250-4867

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301091989
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301091989
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000179725
ANTHEM
KY
01
000000547713
ANTHEM
KY
05
1128934
KY
05
200311940A
IN
05
64042294
KY
Enumeration date
12/06/2006
Last updated
04/16/2025
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