Individual
KRISHNAPILLAI THAVARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A301033660
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103192
GREAT LAKES HEALTH PLAN
MI
01
—
108137
CARE CHOICES
MI
01
—
110058813C30371
TRAVELERS MEDICARE
MI
01
—
110Q26434
BLUE CROSS BLUE SHIELD
MI
01
—
204980
FEDERAL BLACK LUNG
MI
05
—
2801412
—
MI
01
—
4098
CAPE HEALTH PLAN
MI
01
—
4572248
AETNA
MI
01
—
C2630
M-CARE
MI
01
—
G02484
BLUECARE NETWORK
MI
01
—
P2834
BLUECARE NETWORK
MI
Enumeration date
08/10/2005
Last updated
01/30/2019
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