Individual
DR. RAJENDRA BOTHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27423 VAN DYKE AVE, WARREN, MI 48093-2867
(586) 757-4000
(586) 755-9880
Mailing address
27423 VAN DYKE AVE, WARREN, MI 48093-2867
(586) 757-4000
(586) 755-9880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RB033013
MI
Other
Enumeration date
10/25/2006
Last updated
02/09/2010
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