Individual
KRISHNAN RAGHAVENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301063260
MI
2086S0102X
Surgical Critical Care Physician
Primary
4301063260
MI
2086S0127X
Trauma Surgery Physician
219095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02091261
—
NY
Enumeration date
07/15/2006
Last updated
10/13/2025
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