Organization
B.P. RAJESH, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE E SNYDER (OFFICE MANAGER)
(989) 224-2100
Entity
Organization
Contact information
Practice address
306 ELM STREET, SUITE B, SAINT JOHNS, MI 48879-2068
(989) 224-2100
(989) 224-0784
Mailing address
306 E ELM ST, SUITE B, SAINT JOHNS, MI 48879-2336
(989) 224-2100
(989) 224-0784
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301060307
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-0-A9-1027-0
BCBS OF MICHIGAN
MI
05
—
4575965
—
MI
Enumeration date
08/27/2007
Last updated
02/22/2008
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