Organization
SANTOSH RASTOGI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTOSH RASTOGI MD (DOCTOR)
(248) 891-3123
Entity
Organization
Contact information
Practice address
837 JORDAN DR, TROY, MI 48098-5627
(248) 891-3123
(248) 828-9712
Mailing address
837 JORDAN DR, TROY, MI 48098-5627
(248) 891-3123
(248) 828-9712
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SR349068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093711459
NPI-CCC
—
01
—
260636811
BLUE CROSS
—
05
—
3015553
—
MI
Enumeration date
02/23/2012
Last updated
02/29/2012
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