Individual
DR. RAJAN U POPAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17707 GALLOWAY FOREST DR, RICHMOND, TX 77407-2487
(248) 763-3681
Mailing address
17707 GALLOWAY FOREST DR, RICHMOND, TX 77407-2487
(248) 763-3681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N0375
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301074186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104418767
—
MI
01
—
1588623763
TRICARE SOUTH
TX
05
—
196397701
—
TX
05
—
196397702
—
TX
01
—
8BB105
BCBSTX
TX
01
—
8CH530
BCBSTX
TX
01
—
RP074186
BC/BS OF MI
MI
Enumeration date
03/17/2006
Last updated
11/09/2020
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