Individual
RAJESH CHALICHAMA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7001 ORCHARD LAKE RD, 200, WEST BLOOMFIELD, MI 48322-3604
(248) 538-7400
(248) 538-7403
Mailing address
6689 ORCHARD LAKE RD # 297, WEST BLOOMFIELD, MI 48322-3404
(248) 254-8140
(248) 254-8150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
431059543
MI
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
431059543
MI
Other
Enumeration date
04/14/2006
Last updated
11/03/2020
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