Organization
CHALAKUDY V. RAMAKRISHNA, M.D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHALAKUDY V. RAMAKRISHNA M.D. (PRESIDENT/OWNER)
(734) 442-4748
Entity
Organization
Contact information
Practice address
17940 FARMINGTON RD, SUITE 230, LIVONIA, MI 48152-4444
(734) 422-4748
Mailing address
17940 FARMINGTON RD, SUITE 230, LIVONIA, MI 48152-4444
(734) 422-4748
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260031606
RR MEDICARE
MI
01
—
2608244372
BCBS #
MI
01
—
2609502402
BCBS GROUP PIN
MI
05
—
4639070
—
MI
Enumeration date
08/23/2006
Last updated
09/18/2013
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