Individual
DR. JAIRAM RAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1433 E MICHIGAN AVE, SUITE C, LANSING, MI 48912-2111
(517) 484-9050
(517) 484-8169
Mailing address
1433 E MICHIGAN AVE, SUITE C, LANSING, MI 48912-2111
(517) 484-9050
(517) 484-8169
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700120
PHYSICIANS HEALTH PLAN
MI
01
—
16003300212
BCBS OF MI
MI
05
—
2692560 TYPE 10
—
MI
01
—
QMXPR0024536
MOLINA HEALTH CARE
MI
Enumeration date
05/08/2006
Last updated
04/22/2013
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