Organization
MEDICAL MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJNIKANT NAGARSHETH MD (DOCTOR)
(313) 831-5913
Entity
Organization
Contact information
Practice address
430 MACK AVE, DETROIT, MI 48201-2136
(313) 831-5913
(313) 831-5991
Mailing address
430 MACK AVE, DETROIT, MI 48201-2136
(313) 831-5913
(313) 831-5991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H22035
BCBSM GROUP #
MI
01
—
0N85870
MEDICARE GROUP #
MI
Enumeration date
03/07/2006
Last updated
01/10/2008
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