Organization
MACOMB NEUROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAKRAPANI RANGANATHAN MD (PRESIDENT)
(586) 756-5500
Entity
Organization
Contact information
Practice address
27427 SCHOENHERR, STE 100, WARREN, MI 48088
(586) 756-5500
(586) 756-5511
Mailing address
PO BOX 7027, NOVI, MI 48376
(586) 756-5500
(586) 756-5511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130E012370
BCBS PIN
—
Enumeration date
11/16/2006
Last updated
12/20/2022
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