Individual
RAJAN RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 CHALLIS RD, 2ND FLOOR, BRIGHTON, MI 48116-9416
(734) 647-5940
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301076537
MI
207K00000X
Allergy & Immunology Physician
MD428811
PA
207R00000X
Internal Medicine Physician
4301076537
MI
Other
Enumeration date
05/09/2006
Last updated
02/08/2019
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